Organization
IMBODEN MEDICAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEVAN D MURPHY PP (PHARMACIST MANAGER OWNER)
(870) 869-2046
Entity
Organization
Contact information
Practice address
203 WALNUT ST, IMBODEN, AR 72434
(870) 869-2046
(870) 869-3302
Mailing address
203 WALNUT ST, IMBODEN, AR 72434
(870) 869-2046
(870) 869-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6091
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410047
NABPH
—
Enumeration date
10/25/2005
Last updated
08/22/2020
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