Organization
ECONO-MART PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HOLIFIELD PHARMD (OWNER)
(870) 793-4179
Entity
Organization
Contact information
Practice address
1595 HARRISON ST, BATESVILLE, AR 72501-7222
(870) 793-4179
(870) 793-7303
Mailing address
1595 HARRISON ST, BATESVILLE, AR 72501-7222
(870) 793-4179
(870) 793-7303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR14083
AR
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761467
—
AR
01
—
1994551
PK
—
Enumeration date
09/14/2005
Last updated
12/26/2018
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