Organization
BOB'S FOOD CITY # 1450
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MCCRADY BS PHARMACY (DIRECTOR OF PHARMACY)
(501) 570-0007
Entity
Organization
Contact information
Practice address
800 MALVERN AVE, HOT SPRINGS, AR 71901-6230
(501) 624-1208
(501) 623-9937
Mailing address
800 MALVERN AVE, HOT SPRINGS, AR 71901-6230
(501) 624-1028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20017
AR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0419843
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
174842407
—
AR
Enumeration date
01/08/2007
Last updated
03/02/2009
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