Lake Village Drugstore, Inc.
NPI #1487789400 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1487789400
- Entity Type
- Organization
- Organization Name
- Lake Village Drugstore, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Sep 16, 2022
Practice Location
- Address
- 2907 HWY 65-82 SOUTH
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653
- Phone
- (870) 265-5555
Authorized Official
- Name
- KAMILA LEA CROUSE, PHARM. D.
- Title
- PHARMACY MANAGER/PHARMACIST IN CHAR
- Phone
- (870) 265-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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