Organization
JUNCTION CITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON LEON HINES PD (OWNERPHARMACIST)
(870) 924-4018
Entity
Organization
Contact information
Practice address
119 MAIN, JUNCTION CITY, AR 71749
(870) 924-4018
(870) 924-4021
Mailing address
PO BOX 780, JUNCTION CITY, AR 71749-0780
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR18106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100349407
—
AR
05
—
1222879
—
LA
Enumeration date
02/28/2007
Last updated
07/30/2008
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