City Drug And Soda Fountain

LBN: City Drug And Soda Fountain
City Drug And Soda Fountain is an health care organization with primary practice located at 121 W S West Street , Mount Ida AR 71957. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. City Drug And Soda Fountain can be contacted via phone (870) 867-3310, or through Hobson, Michael via phone (870) 867-3310.

Contact Information

Primary practice address
121 W S West Street Mount Ida AR 71957
Phone: (870) 867-3310
Fax: (870) 867-4848
Website:
Map and Directions
Authorized official contact:
Name: Hobson, Michael
Phone: (870) 867-3310

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X AR18598 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1861585002
LBN Legal business name City Drug And Soda Fountain
DBA Doing business as
Authorized official Hobson, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1861585002 NPPES
Other 0418598 OTHER ID NUMBER-COMMERCIAL NUMBER

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