Organization
SOUTH ARKANSAS PHARMACY, INC
Active
Organization
SOUTH ARKANSAS PHARMACY, INC
Active
Other names
SAMA Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE CYPHERS RPH (OWNER/PIC)
(870) 639-3929
Entity
Organization
Contact information
Practice address
600 SOUTH TIMBERLANE #101, EL DORADO, AR 71730
(870) 639-3929
(870) 639-3930
Mailing address
600 SOUTH TIMBERLANE #101, EL DORADO, AR 71730
(870) 639-3929
(870) 639-3930
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20663
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423777
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/09/2011
Last updated
12/31/2018
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