Organization
LEECH DRUG CO INC
Active
Other names
STAR CITY DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEECH (PRESIDENT)
(820) 628-4263
Entity
Organization
Contact information
Practice address
109 DREW ST, STAR CITY, AR 71667-0479
(870) 628-4263
(870) 628-4926
Mailing address
109 DREW ST, PO BOX 479, STAR CITY, AR 71661
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR06214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406214
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/13/2006
Last updated
02/20/2008
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