Organization
PPG STORE 7 LLC
Active
Organization
PPG STORE 7 LLC
Active
Other names
Heartland Pharmacy Arkadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT BOONE PHARMD (OWNER)
(870) 464-9560
Entity
Organization
Contact information
Practice address
102 N 27TH ST, ARKADELPHIA, AR 71923-4368
(870) 464-9560
(870) 464-9561
Mailing address
824 SALEM RD STE 220, CONWAY, AR 72034-4855
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
05/21/2021
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