Organization
CAEB INVESTMENTS INC.
Active
Other names
Arch Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE JACK TUCKER (OWNER)
(501) 261-7181
Entity
Organization
Contact information
Practice address
11200 ARCH STREET, LITTLE ROCK, AR 72206
(501) 261-7181
(501) 475-0398
Mailing address
11200 ARCH STREET, LITTLE ROCK, AR 72206
(501) 261-7181
(501) 475-0398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
AR20749
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159379
PK
—
Enumeration date
04/22/2016
Last updated
01/29/2020
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