Organization
PRINCE DRUG STORE INC
Active
Other names
PRINCE DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LUNSFORD PD (AUTHORIZED REP PHCST)
(479) 782-9210
Entity
Organization
Contact information
Practice address
1112 TOWSON AVE, FORT SMITH, AR 72901-5002
(479) 782-9210
(479) 782-0023
Mailing address
1112 TOWSON AVE, FORT SMITH, AR 72901-5002
(479) 782-9210
(479) 782-0023
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR00628
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026407
—
AR
05
—
100231570A
—
OK
01
—
1992747
PK
—
Enumeration date
10/20/2006
Last updated
05/23/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us