Organization
MONTICELLO DRUG COMPANY LLC
Active
Other names
City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL CROUSE (OWNER)
(870) 265-2220
Entity
Organization
Contact information
Practice address
201 E GAINES ST, MONTICELLO, AR 71655-4903
(870) 367-5301
(870) 460-0257
Mailing address
PO BOX 552, LAKE VILLAGE, AR 71653-0552
(870) 265-2220
(870) 265-2226
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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