Provider Demographics
NPI:1407037450
Name:DON'S DRUG, INC.
Entity Type:Organization
Organization Name:DON'S DRUG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DON
Authorized Official - Last Name:BAGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-928-4499
Mailing Address - Street 1:PO BOX 646
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:AR
Mailing Address - Zip Code:72944-0646
Mailing Address - Country:US
Mailing Address - Phone:479-928-4499
Mailing Address - Fax:479-928-4490
Practice Address - Street 1:213 E. HOWARD ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:AR
Practice Address - Zip Code:72944-0646
Practice Address - Country:US
Practice Address - Phone:479-928-4499
Practice Address - Fax:479-928-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0801360001332B00000X
AR56653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR135926407Medicaid
AR135926407Medicaid