Organization
TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC
Active
Organization
TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE HUFFORD (CEO)
(573) 783-5703
Entity
Organization
Contact information
Practice address
801 HIGHWAY 463 N, TRUMANN, AR 72472-1636
(870) 483-8015
(870) 483-7528
Mailing address
801 HIGHWAY 463 N, TRUMANN, AR 72472-1636
(870) 483-8015
(870) 483-8015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142058407
—
AR
01
—
1988319
PK
—
Enumeration date
11/27/2006
Last updated
04/13/2017
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