# MITCHELLS PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MITCHELLS PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881742880
- **Authorized official:** DWAYNE MITCHELL RPH (OWNER & PHARMACIST)
- **Authorized official phone:** (318) 259-7466

## Contact information

- **Practice address:** 202 E MAIN ST, JONESBORO, LA 71251
- **Practice address phone:** (318) 259-7466
- **Practice address fax:** (318) 259-8019
- **Mailing address:** 202 E MAIN ST, JONESBORO, LA 71251-3202
- **Mailing address phone:** (318) 259-7466
- **Mailing address fax:** (318) 259-8019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2804 | LA | — |
| 333600000X | Pharmacy | 2804 | LA | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.002804-IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 2804 | LA | — |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 06/20/2018