Organization
LEECH DRUG CO INC
Active
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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