C & D Drug Store Inc

LBN: C & D Drug Store Inc
C & D Drug Store Inc is an health care organization with primary practice located at 121 N Commerce Ave , Russellville AR 72801-3741. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. C & D Drug Store Inc can be contacted via phone (479) 968-2456, or through Walker, Roy Dean via phone (479) 968-2456.

Contact Information

Primary practice address
121 N Commerce Ave Russellville AR 72801-3741
Phone: (479) 968-2456
Fax: (479) 968-7914
Website:
Map and Directions
Authorized official contact:
Name: Walker, Roy Dean RPH
Phone: (479) 968-2456

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR05882 Arkansas

Profile Details

NPI number 1295831899
LBN Legal business name C & D Drug Store Inc
DBA Doing business as
Authorized official Walker, Roy Dean RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295831899 NPPES
Arkansas MEDICAID 124449716
Arkansas MEDICAID 100080407

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