Organization
CA & JL ENTERPRISES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L BUSH (OWNER)
(501) 982-9433
Entity
Organization
Contact information
Practice address
343 S JAMES ST, JACKSONVILLE, AR 72076-4315
(501) 982-9433
(501) 843-2758
Mailing address
PO BOX 1408, CABOT, AR 72023-1408
(501) 982-9433
(501) 982-4881
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
72837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417332
NCPDP
AR
01
—
0417332
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
154888407
—
AR
05
—
157551716
—
AR
Enumeration date
11/15/2006
Last updated
03/07/2023
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