Organization
SUPER V DRUGS VACCINES
Active
Parent organization
PAT'S SUPER V DRUGSTORE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAT'S SUPER V DRUGSTORE, INC.
Authorized official
KRISTY REED (OWNER/PHARMACIST)
(870) 972-6470
Entity
Organization
Contact information
Practice address
1000-A EAST MATTHEWS AVE., JONESBORO, AR 72401
(870) 972-6470
(870) 972-0710
Mailing address
1000 E MATTHEWS AVE STE A, JONESBORO, AR 72401-4344
(870) 972-6470
(870) 972-0710
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR10821
AR
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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