Whalio Doctors

NPI 1013589514

Mainline Pharmacy Services INC

Organisation Community/Retail Pharmacy Monticello, AR

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
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X
Clinic Pharmacy
Suppliers Taxonomy 3336C0002X

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.