Organization
CABOT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH ANDREW BLANSETT P.D, (PHARMACIST/OWNER)
(501) 941-4400
Entity
Organization
Contact information
Practice address
2006 S PINE ST STE F, CABOT, AR 72023-8179
(501) 941-4400
(501) 941-4430
Mailing address
2006 S PINE ST STE F, CABOT, AR 72023-8179
(501) 941-4400
(501) 941-4430
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20632
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183459407
—
AR
Enumeration date
08/11/2010
Last updated
06/19/2012
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