Provider Demographics
NPI:1356182604
Name:DUMAS FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:DUMAS FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:STIMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-382-0500
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-0100
Mailing Address - Country:US
Mailing Address - Phone:870-382-0500
Mailing Address - Fax:870-382-0509
Practice Address - Street 1:301 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2335
Practice Address - Country:US
Practice Address - Phone:870-382-0500
Practice Address - Fax:870-382-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy