Organization
STATE LINE PHARMACY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMI LEIGH LUCAS PHARMD (PHARMACIST IN CHARGE)
(870) 843-6028
Entity
Organization
Contact information
Practice address
501 N MAIN ST, JUNCTION CITY, AR 71749-9501
(870) 843-6028
Mailing address
PO BOX 720, JUNCTION CITY, AR 71749-0720
(870) 843-6028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/14/2023
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