Economy Drug of Dewitt
Organization Active NPI Pharmacist · Dewitt, AR
NPI 1124048699 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1124048699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- AR15972 (AR)
- Legal business name
- ECONOMY DRUG OF DEWITT
- Practice address
- 1626 S Madison St
Dewitt, AR 72042-3003 - Phone
- (870) 946-1706
- Fax
- (870) 946-3024
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Alton Chambless
- Title
- Owner/Chief Pharmacist
- Phone
- (870) 946-1706
National Provider Directory
Locations
1626 S Madison St
Dewitt, AR 72042
Phone (870) 344-1642
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | AR15972 | AR | Yes |
Addresses
Primary practice location
1626 S Madison St
Dewitt, AR 72042-3003
Mailing address
PO Box 588
De Witt, AR 72042-0588
Phone (870) 946-1048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128818407 | Medicaid | AR | |
| AR15972 | Other | AR | PHARMACY |
Other providers in Dewitt, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.