Organization
WHITEHALL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD LELAN STICE (OWNER)
(501) 442-4657
Entity
Organization
Contact information
Practice address
500 S LINCOLN AVE, STAR CITY, AR 71667-5208
(870) 628-4004
(870) 628-4004
Mailing address
205 E 2ND AVE, PINE BLUFF, AR 71601-4443
(870) 628-4004
(870) 628-4004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236079407
—
AR
Enumeration date
09/19/2019
Last updated
10/08/2025
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