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Organization

SUPERMARKET INVESTORS INC

Active
Other names
HARVEST FOODS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA MCCRADY BS PHARMACY (DIRECTOR OF PHARMACY)
(501) 570-0007
Entity
Organization

Contact information

Practice address
1117 AUDUBON DR, MAUMELLE, AR 72113
(501) 851-7599
(501) 851-7713
Mailing address
1117 AUDUBON DR, MAUMELLE, AR 72113

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
AR20240
AR
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0421139
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
01/08/2007
Last updated
09/11/2025
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