Organization
ALCO PHARMACY INC
Active
Other names
SAM ALEXANDER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ALEXANDER (OWNER)
(870) 741-6511
Entity
Organization
Contact information
Practice address
127 N MAIN ST, HARRISON, AR 72601-4227
(870) 741-6511
(870) 365-0216
Mailing address
127 N MAIN ST, HARRISON, AR 72601-4227
(870) 741-6511
(870) 365-0216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR14590
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0414590
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100163407
—
AR
05
—
119042716
—
AR
Enumeration date
09/20/2005
Last updated
03/25/2010
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