Organization
MITCHELL'S MAIN STREET PHARMACY, INC
Active
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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