Organization
DE QUEEN HEALTH AND WELLNESS PHARMACY LLC
Active
Organization
DE QUEEN HEALTH AND WELLNESS PHARMACY LLC
Active
Other names
DE QUEEN HEALTH AND WELLNESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER BARBER (PHARMACIST AND OWNER)
(870) 642-2400
Entity
Organization
Contact information
Practice address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-4458
(870) 642-5526
Mailing address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-2400
(870) 642-5526
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20221
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421026
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
155535407
—
AR
05
—
200018110A
—
OK
Enumeration date
02/25/2009
Last updated
06/05/2025
Update your record
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