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Organization

CITY DRUG STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OSCAR PAUL CLAYTON BS PH (OWNER PHARMACIST)
(870) 349-5161
Entity
Organization

Contact information

Practice address
101 103 HWY 67 N, TUCKERMAN, AR 72473
(870) 349-5161
(870) 349-2863
Mailing address
PO BOX 1190, 101 103 HIGHWAY 67 N, TUCKERMAN, AR 72473
(870) 349-5161
(870) 349-2863

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
08/28/2006
Last updated
08/22/2020
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