Organization
SOUTHEAST ARKANSAS PHARMACIES LLC
Active
Organization
SOUTHEAST ARKANSAS PHARMACIES LLC
Active
Other names
The Prescription Pad Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (OWNER/PHARMACIST IN CHARGE)
(870) 460-5201
Entity
Organization
Contact information
Practice address
539 HIGHWAY 425 S, MONTICELLO, AR 71655-4674
(870) 367-4227
(870) 367-4211
Mailing address
PO BOX 1012, MONTICELLO, AR 71657-1012
(870) 367-4227
(870) 367-4211
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20742
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144706
PK
—
Enumeration date
12/04/2013
Last updated
12/09/2014
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