Organization
HARRIS DRUG STORE CORPORATION
Active
Other names
Harris Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DEAN AUTRY (PRESIDENT RPH IN CHARGE)
(870) 584-3555
Entity
Organization
Contact information
Practice address
205 DEQUEEN AVE, DE QUEEN, AR 71832
(870) 584-3555
(870) 642-7259
Mailing address
205 DEQUEEN AVE, DE QUEEN, AR 71832
(870) 584-3555
(870) 642-7259
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR12849
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118398407
—
AR
Enumeration date
10/20/2006
Last updated
02/18/2011
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