Provider Demographics
NPI:1811902091
Name:DEANS PHARMACIES, INC.
Entity type:Organization
Organization Name:DEANS PHARMACIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:870-946-2381
Mailing Address - Street 1:1640 S WHITEHEAD DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:AR
Mailing Address - Zip Code:72042-2994
Mailing Address - Country:US
Mailing Address - Phone:870-946-2381
Mailing Address - Fax:
Practice Address - Street 1:1640 S WHITEHEAD DR
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:AR
Practice Address - Zip Code:72042-2994
Practice Address - Country:US
Practice Address - Phone:870-946-2381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR176613336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0416740001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER