Organization
WHITE RIVER RURAL HEALTH CENTER, INC.
Active
Parent organization
WHITE RIVER RURAL HEALTH CENTER, INC.
Other names
Community Drug Store of Lake City
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE RIVER RURAL HEALTH CENTER, INC.
Authorized official
STEVE COLLIER MD (CEO)
(870) 347-3304
Entity
Organization
Contact information
Practice address
1009 HIGHWAY 18, STE B, LAKE CITY, AR 72437-9622
(870) 237-1246
(870) 237-1248
Mailing address
623 N 9TH ST, AUGUSTA, AR 72006-2129
(870) 347-2534
(870) 347-2882
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20585
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422903
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/29/2008
Last updated
08/07/2008
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