Organization
BUICE DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WIMBERLY (PHARMACIST)
(501) 663-4133
Entity
Organization
Contact information
Practice address
3013 W MARKHAM ST, LITTLE ROCK, AR 72205-5853
(501) 663-4133
(501) 663-0270
Mailing address
3013 W MARKHAM ST, LITTLE ROCK, AR 72205-5853
(501) 663-4133
(501) 663-0270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD00083
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022704
—
AR
Enumeration date
02/19/2007
Last updated
06/18/2008
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