Organization
PHC PHARMACIES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
C KEMP SKOKOS (OWNER)
(870) 793-2161
Entity
Organization
Contact information
Practice address
2080 HARRISON ST, SUITE A, BATESVILLE, AR 72501-7413
(870) 793-2161
(870) 793-4569
Mailing address
2080 HARRISON ST, SUITE A, BATESVILLE, AR 72501-7413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
AR
3336C0003X
Community/Retail Pharmacy
Primary
0419108
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0419108
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
139395407
—
AR
Enumeration date
11/15/2006
Last updated
03/07/2023
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