Organization
MCKINNEY DRUG STORES INC
Active
Organization
MCKINNEY DRUG STORES INC
Active
Other names
Community Pharmacy of Springdale
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA HENNESSEY PHARM.D. (OWNER/PHARMACIST IN CHARGE)
(479) 750-2220
Entity
Organization
Contact information
Practice address
400 W EMMA AVE, SPRINGDALE, AR 72764-4471
(479) 750-2220
(479) 750-2031
Mailing address
400 W EMMA AVE, SPRINGDALE, AR 72764-4471
(479) 750-2220
(479) 750-2031
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20731
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142345
PK
—
Enumeration date
10/03/2013
Last updated
08/27/2020
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