Organization
DAVIS DRUG STORE INC
Active
Other names
Pillbox Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA D TAYLOR PHARM D (OWNER)
(870) 856-3080
Entity
Organization
Contact information
Practice address
1243 HIGHWAY 62 412, HIGHLAND, AR 72542-9469
(870) 856-3080
(870) 856-4165
Mailing address
PO BOX 428, ASH FLAT, AR 72513-0428
(870) 856-3080
(870) 856-4165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
AR20337
AR
3336C0003X
Community/Retail Pharmacy
Primary
AR20337
AR
3336L0003X
Long Term Care Pharmacy
AR20337
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146773407
—
AR
Enumeration date
09/26/2006
Last updated
09/23/2019
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