Organization
C & D DRUG STORE INC
Active
Organization
C & D DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY DEAN WALKER RPH (PRESIDENT)
(479) 968-2456
Entity
Organization
Contact information
Practice address
121 N COMMERCE AVE, RUSSELLVILLE, AR 72801-3741
(479) 968-2456
(479) 968-7914
Mailing address
121 N COMMERCE AVE, RUSSELLVILLE, AR 72801-3741
(479) 968-2456
(479) 968-7914
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR05882
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080407
—
AR
05
—
124449716
—
AR
Enumeration date
09/15/2006
Last updated
08/02/2012
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