Organization
GURDON PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BEAGLE (PHARMACY OPERATIONS MANAGER)
(309) 642-2620
Entity
Organization
Contact information
Practice address
104 S. 6TH ST, GURDON, AR 71743
(870) 353-9900
(844) 805-7807
Mailing address
104 S. 6TH ST, GURDON, AR 71743
(870) 353-9900
(844) 805-7807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262898407
—
AR
Enumeration date
12/09/2020
Last updated
04/11/2022
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