Organization
FORREST CITY FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED CALDWELL PHARMD (OWNER)
(870) 588-7182
Entity
Organization
Contact information
Practice address
1111 N WASHINGTON ST, FORREST CITY, AR 72335-2150
(870) 581-9029
Mailing address
1111 N WASHINGTON ST, FORREST CITY, AR 72335-2150
(870) 581-9029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0426379
NCPDP
—
01
—
AR20899
ARKANSAS RETAIL PHARMACY LICENSE
AR
Enumeration date
01/10/2019
Last updated
12/28/2023
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