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Organization
PROFESSIONAL PHARMACY
Active
Organization
PROFESSIONAL PHARMACY
Active
Other names
PROFESSIONAL PHARMACY, CROWE DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY JUDSON SMITH PHARM.D (PRESIDENT)
(870) 673-1741
Entity
Organization
Contact information
Practice address
1515 N. MEDICAL DRIVE, STUTTGART, AR 72160
(870) 673-1741
(870) 673-1590
Mailing address
1515 N. MEDICAL DRIVE, STUTTGART, AR 72160
(870) 673-1741
(870) 673-1590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440407
—
AR
Enumeration date
05/09/2007
Last updated
03/10/2021
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