Provider Demographics
NPI:1851377519
Name:CANTRELL DRUG COMPANY
Entity Type:Organization
Organization Name:CANTRELL DRUG COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCARLEY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:501-663-6368
Mailing Address - Street 1:7321 CANTRELL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4144
Mailing Address - Country:US
Mailing Address - Phone:501-663-6368
Mailing Address - Fax:501-666-8962
Practice Address - Street 1:7321 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4144
Practice Address - Country:US
Practice Address - Phone:501-663-6368
Practice Address - Fax:501-666-8962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR07487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR04-17419OtherNABP
AR17419OtherPHARMACY LICENSE