Organization
CLINIC DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H BAKER PD (OWNER PHARMACIST)
(870) 793-5170
Entity
Organization
Contact information
Practice address
1700 HARRISON ST STE D, BATESVILLE, AR 72501
(870) 793-5170
(870) 793-4996
Mailing address
1700 HARRISON ST STE D, BATESVILLE, AR 72501
(870) 793-5170
(870) 793-4996
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0416467
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0416467
NCPDP
AR
Enumeration date
12/12/2006
Last updated
08/22/2020
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