Organization
PROFESSIONAL PHARMACY
Active
Other names
PROFESSIONAL PHARMACY, CROWE DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY JUDSON SMITH PHARM.D (PRESIDENT)
(870) 673-1741
Entity
Organization
Contact information
Practice address
1515 N. MEDICAL DRIVE, STUTTGART, AR 72160
(870) 673-1741
(870) 673-1590
Mailing address
1515 N. MEDICAL DRIVE, STUTTGART, AR 72160
(870) 673-1741
(870) 673-1590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440407
—
AR
Enumeration date
05/09/2007
Last updated
03/10/2021
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