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Organization

CARL STANLEY DUCKWORTH P A

Active
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Organization

CARL STANLEY DUCKWORTH P A

Active
Other names
SEXTON PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CARL DUCKWORTH BS PHARMACY (PRESIDENT)
(870) 886-3461
Entity
Organization

Contact information

Practice address
218 W MAIN ST, WALNUT RIDGE, AR 72476-1933
(870) 886-3461
(870) 886-3503
Mailing address
218 W MAIN ST, PO BOX 469, WALNUT RIDGE, AR 72476-1933
(870) 886-3461
(870) 886-3503

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
AR15996
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115144407
AR
01
1994900
PK
Enumeration date
09/26/2006
Last updated
02/20/2017
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