Organization
HOLLY STREET DRUGS INC
Active
Other names
DRUG MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD NORRIS (OWNER)
(870) 222-3080
Entity
Organization
Contact information
Practice address
712 HOLLY ST, MC GEHEE, AR 71654-2111
(870) 222-3080
(870) 222-6561
Mailing address
PO BOX 869, MC GEHEE, AR 71654-0869
(870) 222-3080
(870) 222-6561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR17673
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121988407
—
AR
01
—
1995267
PK
—
Enumeration date
09/27/2005
Last updated
06/18/2013
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