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Organization

MEDIC PHARMACY OF BRYANT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYANT SIZEMORE PHARM.D. (PRESIDENT)
(501) 847-3596
Entity
Organization

Contact information

Practice address
306 N REYNOLDS RD, BRYANT, AR 72022-3440
(501) 847-3596
(501) 847-9020
Mailing address
306 N REYNOLDS RD, BRYANT, AR 72022-3440
(501) 847-3596
(501) 847-9020

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR01240
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030000679
MEDCO HEALTH
01
0401240
NABP
05
100509407
AR
Enumeration date
10/08/2005
Last updated
10/12/2021
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