Provider Demographics
NPI:1083478176
Name:BEST DRUG STORE OF NORTH-CENTRAL ARKANSAS INC
Entity Type:Organization
Organization Name:BEST DRUG STORE OF NORTH-CENTRAL ARKANSAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-793-4179
Mailing Address - Street 1:PO BOX 498
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-0498
Mailing Address - Country:US
Mailing Address - Phone:870-269-4329
Mailing Address - Fax:870-269-4722
Practice Address - Street 1:100 CASE COMMONS DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-5016
Practice Address - Country:US
Practice Address - Phone:870-269-4329
Practice Address - Fax:870-269-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy