NPI 1013188168

Drug Store, INC

Organisation Community/Retail Pharmacy Little Rock, AR

Practice location

Address: 11121 N Rodney Parham Rd STE 42b, Little Rock, AR 72212-4108
Phone: (501) 223-2636
Fax: (501) 224-5253

Authorised official

Name: Phillip a Judd
Title: Owner/Pharmacist
Phone: (501) 223-2636

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence AR17560 (AR)

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Registry record

NPI: 1013188168
Entity type: Organization
NPI issued: 17 Mar 2008
Record last updated: 14 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.