Organization
MAM ENTERPRISES INC
Active
Other names
ARCH STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN MCMURRY P.D. (OWNER)
(501) 261-7181
Entity
Organization
Contact information
Practice address
11200 ARCH ST, LITTLE ROCK, AR 72206-4649
(501) 261-7181
(501) 261-7307
Mailing address
PO BOX 241250, LITTLE ROCK, AR 72223-0005
(501) 261-7181
(501) 261-7307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20275
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142625407
—
AR
01
—
5G678
MEDICARE MASS IMMUNIZATION PTAN
—
Enumeration date
01/17/2007
Last updated
04/12/2011
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