Organization
LEMONS PRESCRIPTION SHOP LLC
Active
Other names
Lemons Prescription Shop LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY BOWERS (MEMBER)
(501) 354-3318
Entity
Organization
Contact information
Practice address
1713 E HARDING ST, MORRILTON, AR 72110-4507
(501) 354-3318
(501) 354-0649
Mailing address
1713 E HARDING ST, PO BOX 709, MORRILTON, AR 72110-4507
(501) 354-3318
(501) 354-0649
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR04854
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193292407
—
AR
01
—
2136108
PK
—
Enumeration date
07/29/2005
Last updated
02/22/2016
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