Organization
DELTA DRUG OF DERMOTT, INC
Active
Other names
Delta Drug of Dermott
Organization subpart
No
Provider details
NPI number
Authorized official
CALLEY MCNEMAR (MANAGER)
(870) 265-2220
Entity
Organization
Contact information
Practice address
111 E PEDDICORD ST, DERMOTT, AR 71638-2314
(870) 538-5233
(870) 538-5717
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262407
—
AR
Enumeration date
06/14/2023
Last updated
06/14/2023
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