# MAINLINE PHARMACY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinic Pharmacy of Monticello
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407540016
- **Authorized official:** CALLEY MCNEMAR (MANAGER)
- **Authorized official phone:** (870) 265-2220

## Contact information

- **Practice address:** 535 JORDAN DR, MONTICELLO, AR 71655-5714
- **Practice address phone:** (870) 224-0651
- **Practice address fax:** (870) 224-0652
- **Mailing address:** PO BOX 552, LAKE VILLAGE, AR 71653-0552
- **Mailing address phone:** (870) 265-2220
- **Mailing address fax:** (870) 265-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2023
- **Last updated:** 06/08/2023