Micrognostics, Inc.

Organization Active NPI Community/Retail Pharmacy · Plainview, AR

NPI 1043386964 · NPPES record last updated Nov 5, 2014

Key facts

NPI
1043386964
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
MICROGNOSTICS, INC.
Practice address
102 West Main St
Plainview, AR 72857
Phone
(479) 272-4291
NPI assigned
Nov 24, 2006
Organization subpart
Yes
Parent organization (as reported)
MICROGNOSTICS, INC.

Authorized official

Name
Mrs. Kelly Dearing
Title
President
Phone
(479) 272-4291

National Provider Directory

Part of
Micrognostics Inc

Locations

102 W Main St
Plainview, AR 72857
Phone (479) 272-4291

Specialties & licenses

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

Addresses

Primary practice location

102 West Main St
Plainview, AR 72857

Mailing address

PO Box 217
Plainview, AR 72857-0217
Phone (479) 272-4291

Other identifiers

IdentifierTypeStateIssuer
0419158OtherNCPDP
128123407MedicaidAR

Other names

  • Plainview Corner Drug Doing business as

Other providers in Plainview, AR

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

Sources for this page

Verify at the official NPI Registry.