Organization
M-C DRUG STORE LLC
Active
Other names
M C DRUG STORE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY MONTGOMERY PD (PARTNER)
(870) 338-3414
Entity
Organization
Contact information
Practice address
533 PORTER ST, HELENA, AR 72342-3217
(870) 338-3414
(870) 338-3415
Mailing address
PO BOX 574, HELENA, AR 72342-0574
(870) 338-3414
(870) 338-3415
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR03369
AR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160024407
—
AR
01
—
1992975
PK
—
Enumeration date
07/30/2006
Last updated
09/19/2025
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