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Organization
DELTA DRUG OF DERMOTT, INC
Active
Organization
DELTA DRUG OF DERMOTT, INC
Active
Other names
Delta Drug of Dermott
Organization subpart
No
Provider details
NPI number
Authorized official
CALLEY MCNEMAR (MANAGER)
(870) 265-2220
Entity
Organization
Contact information
Practice address
111 E PEDDICORD ST, DERMOTT, AR 71638-2314
(870) 538-5233
(870) 538-5717
Mailing address
PO BOX 552, LAKE VILLAGE, AR 71653-0552
(870) 265-2220
(870) 265-2226
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262407
—
AR
Enumeration date
06/14/2023
Last updated
06/14/2023
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