Organization
KONDO ENTERPRISES CORP
Active
Other names
KONDO DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAO KONDO P.D. (PHARMACIST, PRESIDENT, CEO)
(501) 353-2136
Entity
Organization
Contact information
Practice address
11321 INTERSTATE 30, SUITE 102, LITTLE ROCK, AR 72209-7040
(501) 353-2136
(501) 353-2594
Mailing address
11321 INTERSTATE 30, SUITE 102, LITTLE ROCK, AR 72209-7040
(501) 353-2136
(501) 353-2594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08105
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0418649
NCPDP
AR
05
—
126154407
—
AR
Enumeration date
02/09/2007
Last updated
04/27/2012
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