Organization
BAKER DRUG COMPANY
Active
Other names
BAKER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HENDRICKSON PHARM D (PHARMACIST)
(501) 329-5626
Entity
Organization
Contact information
Practice address
924 FRONT ST, CONWAY, AR 72032-4304
(501) 329-5626
(501) 329-1977
Mailing address
924 FRONT ST, CONWAY, AR 72032-4304
(501) 329-5626
(501) 329-1977
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR02127
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179407
—
AR
01
—
1992895
PK
—
Enumeration date
07/07/2005
Last updated
12/09/2016
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