Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELLS PARK STREET PHARMACY INC
Active OrganizationMITCHELLS PARK STREET PHARMACY INC is a Long-Term Care Pharmacy organization located in CALICO ROCK, Arkansas. NPI 1487640579 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · CALICO ROCK, AR
Registration Details
- NPI Number
- 1487640579
- Provider Type
- Organization
- NPI Issued
- Sep 23, 2005 (20.88106675323 yrs)
- Last Updated
- Jul 5, 2016
- License
-
AR20214 (AR)
Practice Information
- Address
-
526 PARK STCALICO ROCK, AR, 725199070Browse AR providers · Browse ZIP 72519
- Phone
- 8702978107
- Fax
- 8702978799
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Retail Pharmacy
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.