Organization
GENUINE CARE PHARMACY INC
Active
Other names
GENUINE CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT RECKTENWALD PHRMD (PIC)
(501) 749-9136
Entity
Organization
Contact information
Practice address
7337 HIGHWAY 62 W, GASSVILLE, AR 72635-8636
(870) 435-5757
(870) 435-5758
Mailing address
7337 HIGHWAY 62 W, GASSVILLE, AR 72635-8636
(870) 435-5757
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20338
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165230407
—
AR
01
—
1989795
PK
—
Enumeration date
08/10/2007
Last updated
01/23/2017
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