Organization
MICROGNOSTICS, INC.
Active
Parent organization
MICROGNOSTICS, INC.
Other names
Plainview Corner Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICROGNOSTICS, INC.
Authorized official
MRS. KELLY DEARING (PRESIDENT)
(479) 272-4291
Entity
Organization
Contact information
Practice address
102 WEST MAIN ST, PLAINVIEW, AR 72857
(479) 272-4291
Mailing address
PO BOX 217, PLAINVIEW, AR 72857-0217
(479) 272-4291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0419158
NCPDP
—
05
—
128123407
—
AR
Enumeration date
11/24/2006
Last updated
11/05/2014
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