Organization
CAEVERETT, INC
Active
Other names
CORNER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY EVERETT PHARMD (OWNER/PIC)
(870) 368-7171
Entity
Organization
Contact information
Practice address
830 E MAIN ST, MELBOURNE, AR 72556
(870) 368-7171
(870) 368-5295
Mailing address
PO BOX 1370, MELBOURNE, AR 72556-1370
(870) 368-7171
(870) 368-5295
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0426468
NCPDP
—
05
—
158762407
—
AR
05
—
237991407
—
AR
Enumeration date
03/22/2019
Last updated
05/13/2020
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