Organization
MOUNTAIN HOME CHRISTIAN CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL FRAGOULES RPH (PHARMACIST IN CHARGE)
(870) 425-5010
Entity
Organization
Contact information
Practice address
421 W WADE AVE, MOUNTAIN HOME, AR 72653-4622
(870) 425-5010
(870) 425-5010
Mailing address
421 W WADE AVE, MOUNTAIN HOME, AR 72653-4622
(870) 425-5010
(870) 425-5010
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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