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Mitchell'S Park Street Pharmacy, Inc.

Organization Active NPI Long Term Care Pharmacy · Calico Rock, AR

NPI 1295554293 · NPPES record last updated Oct 7, 2024

Key facts

NPI
1295554293
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
MITCHELL'S PARK STREET PHARMACY, INC.
Practice address
526 Park St
Calico Rock, AR 72519-9070
Phone
(870) 297-8107
NPI assigned
Oct 7, 2024
Organization subpart
No

Authorized official

Name
Sarah Beth Mitchell, PHARM D
Title
President/Pharmacist in Charge
Phone
(870) 297-8107

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2235853Mitchell'S Park Street Pharmacy, Inc
526 Park Street, Calico Rock, AR 72519		Certificate of waiverSep 12, 2027

National Provider Directory

Locations

526 Park St
Calico Rock, AR 72519
Phone (870) 297-8107

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

526 Park St
Calico Rock, AR 72519-9070

Mailing address

PO Box 569
Calico Rock, AR 72519-0569
Phone (870) 297-8817

Other names

  • Mitchell's Park Street Pharmacy LTC Doing business as

Other providers in Calico Rock, AR

All providers in Calico Rock, AR · Long Term Care Pharmacy in Arkansas

Sources for this page

Verify at the official NPI Registry.