Organization
PPG STORE 4, LLC
Active
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
128 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3652
(870) 425-2221
(870) 424-3332
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
06/29/2026
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