Organization
JARED BROWN INC
Active
Other names
Salem Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JARED BROWN (OWNER/PIC)
(501) 804-3963
Entity
Organization
Contact information
Practice address
1208 SALEM RD, BENTON, AR 72019-8340
(501) 316-1600
(501) 316-1700
Mailing address
1208 SALEM RD, BENTON, AR 72019-8340
(501) 316-1600
(501) 316-1700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20134
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138650
PK
—
Enumeration date
01/24/2013
Last updated
10/23/2024
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