Organization
DLSN LLC
Active
Other names
BAKER DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ANDREW DALLAS PHARMD (MANAGING MEMBER)
(501) 329-5626
Entity
Organization
Contact information
Practice address
924 FRONT ST, CONWAY, AR 72032-4304
(501) 329-5626
(501) 329-1977
Mailing address
924 FRONT ST, CONWAY, AR 72032-4304
(501) 329-5626
(501) 329-1977
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
08/27/2024
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