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Organization

YELLVILLE DRUG STORE, INC.

Active
Other names
Clinic Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL SCOTT P.D. (PRESIDENT)
(870) 449-4099
Entity
Organization

Contact information

Practice address
317 HIGHWAY 62 W, YELLVILLE, AR 72687-9924
(870) 449-4099
Mailing address
PO BOX 730, YELLVILLE, AR 72687-0730
(870) 449-4099

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR06644
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406644
NCPDP ID#
AR
01
AR06644
PHARMACY LICENSE #
AR
Enumeration date
10/12/2005
Last updated
08/22/2020
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