Organization
CITY DRUG AND SODA FOUNTAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOBSON (VP)
(870) 867-3310
Entity
Organization
Contact information
Practice address
121 W S WEST STREET, MOUNT IDA, AR 71957
(870) 867-3310
(870) 867-4848
Mailing address
PO BOX 865, MOUNT IDA, AR 71957-0865
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
AR18598
AR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0418598
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/02/2006
Last updated
09/11/2025
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