Organization
NORTH PARK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY F GREENE RPH (OWNER CHIEF PHARMACIST)
(870) 642-3784
Entity
Organization
Contact information
Practice address
821 N MAPLE ST, DEQUEEN, AR 71832
(870) 642-3784
(870) 642-5827
Mailing address
PO BOX 930, DEQUEEN, AR 71832
(870) 642-3784
(870) 642-5827
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR13776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413776
NCPDP
—
Enumeration date
10/17/2006
Last updated
08/22/2020
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