Organization
CAVE CITY PHARMACY, PLLC
Active
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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