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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