Organization
RIVER VALLEY PRIMARY CARE
Active
Other names
Midland Drug, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME J WHITE (CEO)
(479) 431-2057
Entity
Organization
Contact information
Practice address
4900 KELLEY HWY, FORT SMITH, AR 72904-5000
(479) 783-0221
(479) 783-8945
Mailing address
4900 KELLEY HWY, FORT SMITH, AR 72904-5000
(479) 783-0221
(479) 783-8945
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20392
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100392407
—
AR
Enumeration date
11/15/2006
Last updated
08/14/2023
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