Organization
MARSHALL MEDIC PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE HORTON PHARM.D. (PHARMACIST IN CHARGE)
(870) 448-3614
Entity
Organization
Contact information
Practice address
243 HWY 65 NORTH, MARSHALL, AR 72650
(870) 448-3614
(870) 448-5143
Mailing address
PO BOX 427, MARSHALL, AR 72650-0427
(870) 448-3614
(870) 448-5143
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19172
AR
3336L0003X
Long Term Care Pharmacy
AR-19172
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100577407
—
AR
Enumeration date
02/14/2007
Last updated
08/08/2016
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