NPI 1013589514
Mainline Pharmacy Services INC
Practice location
- Address
- 535 Jordan Dr STE B, Monticello, AR 71655-5714
- Phone
- (870) 224-0650
- Fax
- (870) 224-0652
- Mailing address
- PO Box 552, Lake Village, AR 71653-0552
Authorised official
- Name
- Khalil L Crouse
- Title
- President
- Phone
- (870) 265-6604
Registered specialties (3)
Community/Retail Pharmacy
Primary
Pharmacy
Clinic Pharmacy
Registry record
- NPI
- 1013589514
- Entity type
- Organization
- NPI issued
- 14 Jul 2021
- Record last updated
- 13 Sep 2021
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.