Organization
ARCH STREET LTC PHARMCY LLC
Active
Other names
Heritage Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MCMURRY (OWNER)
(501) 650-4709
Entity
Organization
Contact information
Practice address
607 W MAIN ST, JACKSONVILLE, AR 72076-4431
(501) 475-0396
(501) 475-0398
Mailing address
607 W MAIN ST, JACKSONVILLE, AR 72076-4431
(501) 475-0396
(501) 475-0398
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20749
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146150
PK
—
Enumeration date
06/05/2014
Last updated
05/03/2016
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