Organization
PIGGOTT PHARMACY LLC
Active
Other names
PIGGOTT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HAYWOOD (OWNER)
(870) 595-4066
Entity
Organization
Contact information
Practice address
648 E MAIN ST, PIGGOTT, AR 72454-2907
(870) 598-3183
(870) 598-3183
Mailing address
648 E MAIN ST, PIGGOTT, AR 72454-2907
(870) 598-3183
(870) 598-3183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR05539
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168438
PK
—
05
—
222563407
—
AR
Enumeration date
04/18/2017
Last updated
04/28/2020
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