Organization
MINERAL SPRINGS DRUG STORE, INC.
Active
Other names
Mineral Springs Pharmacy and Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARON DALE BAXLEY P.D. (OWNER-PRES-PHARMACIST-IN-CHARGE)
(870) 287-4455
Entity
Organization
Contact information
Practice address
400 RUNNELS STREET, MINERAL SPRINGS, AR 71851-0249
(870) 287-4455
(870) 287-4721
Mailing address
PO BOX 249, MINERAL SPRINGS, AR 71851-0249
(870) 287-4455
(870) 287-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR-14413
AR
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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