Organization
MONETTE DISCOUNT DRUG INC
Active
Other names
Leachville Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ANDREW LOMAX PHARM. D. (PHARMACIST)
(870) 275-9496
Entity
Organization
Contact information
Practice address
109 S MAIN ST, LEACHVILLE, AR 72438-9097
(870) 539-6831
(870) 539-6681
Mailing address
PO BOX 82, 109 SOUTH MAIN, LEACHVILLE, AR 72438-0082
(870) 539-6831
(870) 539-6681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR15744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
178642407
—
AR
05
—
602470908
—
MO
Enumeration date
01/16/2007
Last updated
03/07/2023
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