Organization
DRUG STORE, INC
Active
Other names
The Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A JUDD PD (OWNER/PHARMACIST)
(501) 223-2636
Entity
Organization
Contact information
Practice address
11121 N RODNEY PARHAM RD STE 42B, LITTLE ROCK, AR 72212-4108
(501) 223-2636
(501) 224-5253
Mailing address
11121 N RODNEY PARHAM RD STE 42B, LITTLE ROCK, AR 72212-4108
(501) 223-2636
(501) 224-5253
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR17560
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110981407
—
AR
Enumeration date
03/17/2008
Last updated
05/14/2020
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