Organization
A & H ENTERPRISES, INC.
Active
Other names
Wagner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY MASSEY PHARM. D. (PHARMACIST/PRESIDENT)
(573) 718-5043
Entity
Organization
Contact information
Practice address
3644 W STATE HIGHWAY 18, MANILA, AR 72442-8143
(870) 561-1500
(870) 561-1501
Mailing address
PO BOX 1109, MANILA, AR 72442-1109
(870) 561-1500
(870) 561-1501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20712
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197430407
—
AR
Enumeration date
05/01/2013
Last updated
03/26/2014
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