Organization
PPG STORE 5, LLC
Active
Other names
Heartland Pharmacy Cabot
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH HOLDERFIELD (PHARMACIST)
(501) 941-4400
Entity
Organization
Contact information
Practice address
2006 S PINE ST, SUITE F, CABOT, AR 72023-9386
(501) 941-4400
(501) 941-4430
Mailing address
PO BOX 8070, FAYETTEVILLE, AR 72703-0001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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