Organization
FRONTIER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE E OVERLEY PHARMD (PRESIDENT / PHARMACIST)
(720) 254-3152
Entity
Organization
Contact information
Practice address
104 MILLENIUM PARK DR, BISMARCK, AR 71929
(501) 214-6100
Mailing address
104 MILLENIUM PARK DR, BISMARCK, AR 71929
(501) 214-6100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232588407
—
AR
01
—
AR20896
STATE PHARMACY LICENSE
AR
Enumeration date
01/18/2019
Last updated
04/22/2019
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