Organization
CENTRAL DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SMITH (OWNER)
(479) 452-8686
Entity
Organization
Contact information
Practice address
5400 ELLSWORTH RD, FORT SMITH, AR 72903-3220
(479) 452-8686
(479) 452-8688
Mailing address
5400 ELLSWORTH RD, FORT SMITH, AR 72903-3220
(479) 452-8686
(479) 452-8688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100785407
—
AR
01
—
118798716
MEDICAID DME
AR
Enumeration date
10/02/2006
Last updated
06/08/2016
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