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City Drug And Soda Fountain
Community/Retail Pharmacy in Mount Ida, Arkansas
NPI 1861585002

City Drug And Soda Fountain is a Community/Retail Pharmacy based in Mount Ida, AR and is specialized in Community/Retail Pharmacy. City Drug And Soda Fountain practices in Mount Ida, AR. The NPI Number for City Drug And Soda Fountain is 1861585002 and holds a License No. (Arkansas).

The current practice location address for City Drug And Soda Fountain is 121 W S West Street, Mount Ida, AR and can be reached out via phone at 870-867-3310 and via fax at 870-867-4848.

Location: 121 W S West Street, Mount Ida, AR, 71957-0865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861585002
Provider Name
City Drug And Soda Fountain
Credential
Provider Entity Type
Organization
Address
121 W S West Street, Mount Ida, AR, 71957-0865
Phone Number
870-867-3310
Fax Number
870-867-4848
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0418598 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
121 W S West Street
City
Mount Ida
State
Arkansas
Zip
71957
Phone Number
870-867-3310
Fax Number
870-867-4848
person
Provider Business Mailing Address Details
Address
121 W S West Street
City
Mount Ida
State
Arkansas
Zip
71957
Phone Number
870-867-3310
Fax Number
870-867-4848
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
AR18598 (Arkansas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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