Organization
MANES PHARMACY, INC
Active
Other names
Super Sav Drug #3
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN MANES P.D. (MANAGER)
(479) 474-5028
Entity
Organization
Contact information
Practice address
2215 ALMA HWY, VAN BUREN, AR 72956-5009
(479) 474-5028
(479) 474-4792
Mailing address
2215 ALMA HWY, VAN BUREN, AR 72956-5009
(479) 474-5028
(479) 474-4792
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR15009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415009
NCPDP
—
Enumeration date
02/10/2007
Last updated
08/22/2020
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