Organization
AMYCO, INC
Active
Other names
ANDERSON'S DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDICE AMY GIBBONS PHARM D (OWNER PHARMACIST)
(479) 782-2881
Entity
Organization
Contact information
Practice address
700 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 782-2881
(479) 782-3974
Mailing address
700 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 782-2881
(479) 782-3974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240420A
—
OK
05
—
100801990A
—
OK
05
—
148970407
—
AR
05
—
152323716
—
AR
01
—
49917
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
07/11/2006
Last updated
07/21/2022
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