Organization
MILLERS DRUG STORE INC
Active
Other names
MILLER'S DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MILLER (PRESIDENT)
(501) 332-2351
Entity
Organization
Contact information
Practice address
231 S MAIN ST, MALVERN, AR 72104-3736
(501) 332-2351
(501) 337-9705
Mailing address
231 S MAIN ST, MALVERN, AR 72104-3736
(501) 332-2351
(501) 337-9705
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR04474
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135720407
—
AR
01
—
1993252
PK
—
Enumeration date
10/12/2006
Last updated
03/29/2016
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