Organization
COTTON & EARLS DRUG STORES INC
Active
Organization
COTTON & EARLS DRUG STORES INC
Active
Other names
WEINER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE JOHNSON (OWNER)
(870) 684-2214
Entity
Organization
Contact information
Practice address
212 N VAN BUREN ST, WEINER, AR 72479-8948
(870) 684-2214
(870) 684-7576
Mailing address
212 N VAN BUREN ST, WEINER, AR 72479-8948
(870) 684-2214
(870) 684-7576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR15542
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113753407
—
AR
01
—
1994865
PK
—
Enumeration date
07/30/2006
Last updated
04/11/2017
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