Organization
BARRETT RX INC
Active
Other names
DUSTY'S GREEN FOREST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTY BARRETT PHARM D (OWNER/PRESIDENT)
(479) 559-2183
Entity
Organization
Contact information
Practice address
309 E MAIN ST, GREEN FOREST, AR 72638-2432
(870) 438-5614
(870) 438-6256
Mailing address
PO BOX 1299, GREEN FOREST, AR 72638-1299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20398
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415352
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
141449407
—
AR
Enumeration date
09/20/2006
Last updated
11/04/2009
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