Organization
CONWAY MEDCARE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW THOMAS FRAZIER PHARMD (PHARMACIST)
(501) 472-7980
Entity
Organization
Contact information
Practice address
2521 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 358-3498
(501) 358-3506
Mailing address
PO BOX 878, CONWAY, AR 72033-0878
(501) 358-3498
(501) 358-3506
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20700
AR
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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