Organization
YOUNGS MEDICARE PHARMACY
Active
Organization
YOUNGS MEDICARE PHARMACY
Active
Other names
young's healthmart pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN YOUNG (OWNER)
(501) 337-0277
Entity
Organization
Contact information
Practice address
1304 S MAIN ST, MALVERN, AR 72104-5228
(501) 337-4901
(501) 337-7420
Mailing address
1304 S MAIN ST, MALVERN, AR 72104-5228
(501) 337-4901
(501) 337-7420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR08078
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100617407
—
AR
01
—
1993612
PK
—
Enumeration date
04/18/2007
Last updated
02/20/2017
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