Organization
RIVER VALLEY PRIMARY CARE SERVICES
Active
Other names
Bonanza Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME J WHITE (CEO)
(479) 431-2050
Entity
Organization
Contact information
Practice address
920 S HIGHWAY 45, BONANZA, AR 72916-3420
(479) 279-7691
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 431-2050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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