Organization
AMYCO INC
Active
Other names
ANDERSON'S DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KANDICE AMY GIBBONS PHARM.D. (OWNER)
(479) 782-2881
Entity
Organization
Contact information
Practice address
700 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 782-2881
(479) 782-3974
Mailing address
700 LEXINGTON AVE, FORT SMITH, AR 72901-4738
(479) 782-2881
(479) 782-3974
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
72669
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90003922622
—
OK
Enumeration date
06/24/2005
Last updated
08/22/2020
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