Organization
BRYANT HOLIFIELD & DAVIS PHARMACY
Active
Other names
Norman and Baker Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY KATHRYN DAVIS PHARMD (OFFICER/SECRETARY)
(870) 523-9472
Entity
Organization
Contact information
Practice address
2200 MALCOLM AVENUE SUITE D, NEWPORT, AR 72112
(870) 523-9472
(870) 523-9364
Mailing address
2200 MALCOLM AVENUE SUITE D, NEWPORT, AR 72112
(870) 523-9472
(870) 523-9364
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
AR 20190
AR
3336C0003X
Community/Retail Pharmacy
Primary
AR-20190
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138576407
—
AR
Enumeration date
01/21/2006
Last updated
05/09/2019
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