Organization
COMMUNITY CARE RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELYN Y DAVIS PHARMD (PHARMACIST)
(501) 844-1785
Entity
Organization
Contact information
Practice address
1606 MARTIN LUTHER KING BLVD, MALVERN, AR 72104-2006
(501) 229-1446
(501) 229-1397
Mailing address
1606 MARTIN LUTHER KING BLVD, MALVERN, AR 72104-2006
(501) 229-1446
(501) 229-1397
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750859195
—
AR
Enumeration date
11/03/2018
Last updated
01/11/2021
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