Cotton & Earls Drug Stores Inc

Organization Active NPI Community/Retail Pharmacy · Weiner, AR

NPI 1821003435 · NPPES record last updated Apr 11, 2017

Key facts

NPI
1821003435
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
AR15542 (AR)
Legal business name
COTTON & EARLS DRUG STORES INC
Practice address
212 N Van Buren St
Weiner, AR 72479-8948
Phone
(870) 684-2214
Fax
(870) 684-7576
NPI assigned
Jul 30, 2006
Organization subpart
No

Authorized official

Name
Jessie Johnson
Title
Owner
Phone
(870) 684-2214

National Provider Directory

Locations

212 N Van Buren St
Weiner, AR 72479
Phone (870) 684-2214

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR15542 AR Yes

Addresses

Primary practice location

212 N Van Buren St
Weiner, AR 72479-8948

Mailing address

212 N Van Buren St
Weiner, AR 72479-8948
Phone (870) 684-2214

Other identifiers

IdentifierTypeStateIssuer
113753407MedicaidAR
1994865OtherPK

Other names

  • WEINER PHARMACY Doing business as

Other providers in Weiner, AR

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

Sources for this page

Verify at the official NPI Registry.