Organization
V & K PRN, INC
Active
Other names
Palace Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI CLAYTON FOWLKES PHARMACIST (OWNNER)
(870) 625-3222
Entity
Organization
Contact information
Practice address
270 MAIN STREET,, MAMMOTH SPRING, AR 72554
(870) 625-3222
(870) 625-3216
Mailing address
PO BOX 7, MAMMOTH SPRING, AR 72554-0007
(870) 625-3222
(870) 625-3216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
008789
AR
Other
Enumeration date
01/06/2006
Last updated
08/22/2020
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