Tommys Rexall Drug Company Inc.

NPI #1962553404 in Dewitt, Arkansas

Provider Information

NPI Number: 1962553404
Entity Type: Organization
Organization Name: Tommys Rexall Drug Company Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jan 12, 2007
Last Updated: Sep 1, 2017

Practice Location

Address: 220 COURT SQ
City: Dewitt
State: Arkansas
ZIP Code: 72042-2057
Phone: (870) 946-4221

Authorized Official

Name: MR. TOMMY GLENN BLACK, P.D.
Title: PHARMACIST
Phone: (870) 946-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacist	183500000X	Primary

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