Organization
MCKINNEY DRUG STORES INC
Active
Other names
MCKINNEY DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCKINNEY PD (PRESIDENT)
(479) 751-4536
Entity
Organization
Contact information
Practice address
601 W MAPLE AVE, STE 201, SPRINGDALE, AR 72764-5335
(479) 751-4536
(479) 751-2031
Mailing address
601 W MAPLE AVE, STE 201, SPRINGDALE, AR 72764-5335
(479) 751-4536
(479) 751-2031
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR00589
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100391407
—
AR
01
—
1992745
PK
—
Enumeration date
08/31/2006
Last updated
06/08/2016
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