Organization
POLK PHARMACY MANAGEMENT, LLC
Active
Other names
Polk Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ACHOR PHARM.D. (OWNER)
(501) 681-5740
Entity
Organization
Contact information
Practice address
333 MADISON STREET, CLARENDON, AR 72029
(870) 747-3304
(870) 747-5324
Mailing address
8624 E WOODRUFF AVE, SHERWOOD, AR 72120
(501) 681-5740
(501) 676-6009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR18271
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163890407
—
AR
Enumeration date
08/15/2006
Last updated
05/31/2019
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