Organization
PHARMACY OPERATIONS, INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
AMIEE KEEVEN (PROGRAM MANAGEMENT COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
2125 COLLEGE AVE, CONWAY, AR 72034-6210
(501) 329-8111
(501) 450-7189
Mailing address
1 RIDER TRAIL PLAZA DR, SUITE 300, EARTH CITY, MO 63045-1313
(314) 993-6000
(314) 872-5558
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422775
NCPDP #
AR
05
—
166336407
—
AR
05
—
168212716
—
AR
Enumeration date
10/12/2007
Last updated
03/07/2023
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