Organization
CARESCRIPT PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PETRUS (PARTNER)
(479) 494-0100
Entity
Organization
Contact information
Practice address
2910 JENNY LIND RD, BUILDING 4, FORT SMITH, AR 72901-6735
(479) 494-0100
(479) 494-0102
Mailing address
2910 JENNY LIND RD, BUILDING 4, FORT SMITH, AR 72901-6735
(479) 494-0100
(479) 494-0102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR 20636
STATE LICENSE
AR
Enumeration date
04/29/2011
Last updated
07/05/2012
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