Amity Drug & Sundry

Organization Active NPI Durable Medical Equipment & Medical Supplies · Amity, AR

NPI 1861443558 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1861443558
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
AR20525 (AR)
Legal business name
AMITY DRUG & SUNDRY
Practice address
109 W Thompson St
Amity, AR 71921-9135
Phone
(870) 342-5080
Fax
(870) 342-5002
NPI assigned
May 15, 2006
Organization subpart
No

Authorized official

Name
Mrs. Deanna Luekenga
Title
Pharmacist
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
Durable Medical Equipment & Medical Supplies 332B00000X AR20525 AR Yes

Addresses

Primary practice location

109 W Thompson St
Amity, AR 71921-9135

Mailing address

PO Box 156
Amity, AR 71921-0156
Phone (870) 342-5080

Other identifiers

IdentifierTypeStateIssuer
0422369OtherARNCPDP

Other providers in Amity, AR

All providers in Amity, AR · Durable Medical Equipment & Medical Supplies in Arkansas

Sources for this page

Verify at the official NPI Registry.