Organization
PRESCRIPTION STORE OF FORDYCE INC
Active
Organization
PRESCRIPTION STORE OF FORDYCE INC
Active
Other names
THE PRESCRIPTION STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JON DEAN (PRESIDENT)
(870) 352-8631
Entity
Organization
Contact information
Practice address
1115 W 4TH ST, FORDYCE, AR 71742-2001
(870) 352-8631
(870) 352-8183
Mailing address
1115 W 4TH ST, FORDYCE, AR 71742-2001
(870) 352-8631
(870) 352-8183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR14893
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0414893
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
11249907
—
AR
Enumeration date
02/07/2007
Last updated
02/16/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up