City Drug of Monticello INC
NPI #1144363219 in Monticello, Arkansas
Provider Information
- NPI Number
- 1144363219
- Entity Type
- Organization
- Organization Name
- City Drug of Monticello INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 15, 2007
- Last Updated
- May 27, 2011
Practice Location
- Address
- 201 E GAINES ST
- City
- Monticello
- State
- Arkansas
- ZIP Code
- 71655-4903
- Phone
- (870) 367-5301
Authorized Official
- Name
- MR. KHALIL LYNN CROUSE, PHARM.D.
- Title
- OWNER
- Phone
- (870) 265-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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