Provider Demographics
NPI:1659365294
Name:TRUMANN DRUG COMPANY
Entity Type:Organization
Organization Name:TRUMANN DRUG COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IN-CHARGE PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:870-483-6439
Mailing Address - Street 1:213 HIGHWAY 463 N
Mailing Address - Street 2:
Mailing Address - City:TRUMANN
Mailing Address - State:AR
Mailing Address - Zip Code:72472-3503
Mailing Address - Country:US
Mailing Address - Phone:870-483-6439
Mailing Address - Fax:870-483-7588
Practice Address - Street 1:213 HIGHWAY 463 N
Practice Address - Street 2:
Practice Address - City:TRUMANN
Practice Address - State:AR
Practice Address - Zip Code:72472-3503
Practice Address - Country:US
Practice Address - Phone:870-483-6439
Practice Address - Fax:870-483-7588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR69889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty