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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