Organization
PPG STORE 4, LLC
Active
Other names
Heartland Pharmacy Mountain Home
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH HOLDERFIELD (PHARMACIST)
(479) 387-3096
Entity
Organization
Contact information
Practice address
200 E 7TH ST, MOUNTAIN HOME, AR 72653-4414
(870) 425-2221
Mailing address
PO BOX 8070, FAYETTEVILLE, AR 72703-0001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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