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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