Organization
MITCHELL'S MAIN STREET PHARMACY, INC
Active
Other names
Mitchell's Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE MITCHELL (PRESIDENT)
(870) 269-3253
Entity
Organization
Contact information
Practice address
214 EAST MAIN ST, MOUNTAIN VIEW, AR 72560
(870) 269-3253
(870) 269-5120
Mailing address
PO BOX 2798, MOUNTAIN VIEW, AR 72560-2798
(870) 269-3253
(870) 269-5120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR14641
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0424111
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/22/2012
Last updated
03/04/2013
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