Organization
HOUSTON, DICKERSON, AND DICKERSON
Active
Organization
HOUSTON, DICKERSON, AND DICKERSON
Active
Other names
harvest foods pharmacy #3140
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY DICKERSON (PRESIDENT)
(479) 705-8906
Entity
Organization
Contact information
Practice address
502 S CRAWFORD ST, CLARKSVILLE, AR 72830-4006
(479) 705-8407
(479) 705-1027
Mailing address
PO BOX 1336, CLARKSVILLE, AR 72830-1336
(479) 705-8407
(479) 705-1027
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420935
NABP OR NCPDP
AR
05
—
139366407
—
AR
01
—
AR20210
PHARMACY LICENSE NUMBER
AR
Enumeration date
02/15/2007
Last updated
03/07/2023
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