Mainline Pharmacy Services INC
NPI #1013589514 in Monticello, Arkansas
Provider Information
- NPI Number
- 1013589514
- Entity Type
- Organization
- Organization Name
- Mainline Pharmacy Services INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 14, 2021
- Last Updated
- Sep 13, 2021
Practice Location
- Address
- 535 JORDAN DR STE B
- City
- Monticello
- State
- Arkansas
- ZIP Code
- 71655-5714
- Phone
- (870) 224-0650
Authorized Official
- Name
- KHALIL L CROUSE
- Title
- PRESIDENT
- Phone
- (870) 265-6604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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