Amity Drug and Sundry

Organization Active NPI Community/Retail Pharmacy · Amity, AR

NPI 1003822644 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1003822644
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
AR20525 (AR)
Legal business name
AMITY DRUG AND SUNDRY
Practice address
109 W Thompson St
Amity, AR 71921-9135
Phone
(870) 342-5080
Fax
(870) 342-5002
NPI assigned
Aug 1, 2006
Organization subpart
No

Authorized official

Name
Deanna Luekenga, RPH
Title
Owner
Phone
(870) 342-5080

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Amity Drug and Sundry (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20525 AR Yes

Addresses

Primary practice location

109 W Thompson St
Amity, AR 71921-9135

Mailing address

PO Box 156
Amity, AR 71921-0156

Other identifiers

IdentifierTypeStateIssuer
0422369OtherOTHER ID NUMBER
0422369OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other providers in Amity, AR

All providers in Amity, AR · Community/Retail Pharmacy in Arkansas

Sources for this page

Verify at the official NPI Registry.