Organization
VILONIA FAMILY PHARMACY INC
Active
Other names
VILONIA FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TAHNYA HARRIS (PHARMACIST/OWNER)
(501) 796-2204
Entity
Organization
Contact information
Practice address
1122 MAIN ST STE 14, VILONIA, AR 72173-8902
(501) 796-2204
(501) 796-2208
Mailing address
1122 MAIN ST STE 14, VILONIA, AR 72173-8902
(501) 796-2204
(501) 796-2208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20721
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198378407
—
AR
01
—
2140834
PK
—
Enumeration date
06/17/2013
Last updated
06/27/2024
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