Organization
CAVE CITY PHARMACY, PLLC
Active
Other names
Cave City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAVIS (OWNER)
(501) 412-7413
Entity
Organization
Contact information
Practice address
301 S MAIN ST, SUITE C, CAVE CITY, AR 72521-9476
(870) 283-5589
(870) 283-5636
Mailing address
PO BOX 147, CAVE CITY, AR 72521-0147
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR17041
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204598407
—
AR
01
—
2147036
PK
—
Enumeration date
03/06/2007
Last updated
08/16/2023
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