Organization
MENA REGIONAL HEALTH SYSTEM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DEPRIEST (CONTROLLER)
(479) 394-6100
Entity
Organization
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 394-6100
(479) 394-4577
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(479) 394-6100
(479) 394-4577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
AR
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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