Organization
HARRIS DRUG AND GIFTS LLC
Active
Other names
Harris Drug
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE LOGAN (OWNER)
(870) 584-3555
Entity
Organization
Contact information
Practice address
205 W DEQUEEN AVE, DE QUEEN, AR 71832-2809
(870) 584-3555
(870) 642-7259
Mailing address
205 W DEQUEEN AVE, DE QUEEN, AR 71832-2809
(870) 584-3555
(870) 642-7259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR12849
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193169407
—
AR
01
—
2135684
PK
—
Enumeration date
07/13/2012
Last updated
03/28/2017
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