Organization
COLLEGE PHARMACY INC
Active
Other names
PRINCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PRINCE (OWNER PHCST)
(870) 234-7292
Entity
Organization
Contact information
Practice address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-7292
(870) 234-4443
Mailing address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-7292
(870) 234-4443
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20042
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112438407
—
AR
05
—
1275361
—
LA
01
—
1994732
PK
—
Enumeration date
11/10/2005
Last updated
03/11/2026
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