Organization
FOOTES SUPER DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF SAWYER FOOTE SR. (PRESIDENT)
(870) 853-5275
Entity
Organization
Contact information
Practice address
109 EAST ADAMS STREET, HAMBURG, AR 71646
(870) 853-5275
(870) 853-8000
Mailing address
109 EAST ADAMS STREET, HAMBURG, AR 71646
(870) 853-5275
(870) 853-8000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR10554
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121407
—
AR
Enumeration date
02/15/2007
Last updated
12/12/2008
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