NPI 1063286607
Monticello Drug Company LLC
Practice location
- Address
- 201 E Gaines St, Monticello, AR 71655-4903
- Phone
- (870) 367-5301
- Fax
- (870) 460-0257
- Mailing address
- PO Box 552, Lake Village, AR 71653-0552
Authorised official
- Name
- Khalil Crouse
- Title
- Owner
- Phone
- (870) 265-2220
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1063286607
- Entity type
- Organization
- NPI issued
- 14 Nov 2023
- Record last updated
- 14 Nov 2023
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.