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Organization

G AND M PHARMACY INC

Active
Other names
The Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
PRESTON JETT JONES PHARMD (PHARMACIST IN CHARGE)
(870) 935-1340
Entity
Organization

Contact information

Practice address
325 SOUTHWEST DR, SUITE A, JONESBORO, AR 72401-5854
(870) 935-1340
(870) 935-3329
Mailing address
325 SOUTHWEST DR, SUITE A, JONESBORO, AR 72401-5854
(870) 935-1340
(870) 935-3328

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
0417205
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0417205
OTHER ID NUMBER-COMMERCIAL NUMBER
05
100869407
AR
Enumeration date
11/15/2006
Last updated
04/04/2023
About Stedi
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Product
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  • Eligibility checks
  • EDI platform