Organization
SMITH CALDWELL DRUG
Active
Organization
SMITH CALDWELL DRUG
Active
Other names
SMITH CALDWELL, Smith Caldwell Drug Store Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TONEY (CREDENTIALS OFFICER)
(501) 315-7700
Entity
Organization
Contact information
Practice address
414 N. MAIN ST, BENTON, AR 72015
(501) 315-7700
(501) 315-4136
Mailing address
414 N MAIN ST, PO BOX 663, BENTON, AR 72015
(501) 315-7700
(501) 315-0077
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR19451
AR
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106407
—
AR
01
—
1988118
PK
—
Enumeration date
10/02/2006
Last updated
04/06/2023
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