Organization
AMITY DRUG AND SUNDRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LUEKENGA RPH (OWNER)
(870) 342-5080
Entity
Organization
Contact information
Practice address
109 W THOMPSON ST, AMITY, AR 71921-9135
(870) 342-5080
(870) 342-5002
Mailing address
PO BOX 156, AMITY, AR 71921-0156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20525
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422369
OTHER ID NUMBER
—
Enumeration date
08/01/2006
Last updated
07/17/2007
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