Organization
BETHEA BROTHERS DRUG CO INC
Active
Organization
BETHEA BROTHERS DRUG CO INC
Active
Other names
COKER HAMPTON DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON CHASE SMITH (OWNER)
(870) 673-2691
Entity
Organization
Contact information
Practice address
218 S MAIN ST, STUTTGART, AR 72160-4355
(870) 673-2691
(870) 673-2651
Mailing address
PO BOX 902, STUTTGART, AR 72160-0902
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20038
AR
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131817407
—
AR
01
—
1993568
PK
—
Enumeration date
09/20/2006
Last updated
12/10/2024
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