Organization
FUTRELL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARK FUTRELL P.D. (PRESIDENT & CEO)
(870) 892-5615
Entity
Organization
Contact information
Practice address
115 E BROADWAY ST, POCAHONTAS, AR 72455-3402
(870) 892-5616
(870) 892-2592
Mailing address
115 E BROADWAY ST, POCAHONTAS, AR 72455-3402
(870) 892-5616
(870) 892-2592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
110305716
AR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
122010733
AR
333600000X
Pharmacy
Primary
AR05743
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405743
NABP #
AR
05
—
100288407
—
AR
05
—
110305716
—
AR
05
—
122010733
—
AR
Enumeration date
07/01/2005
Last updated
03/07/2023
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