Mitchells Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Jonesboro, LA. Organization (NPI-2).
NPI number1881742880
StatusActive
Last updated in NPPESJun 20, 2018
Details
- NPI
- 1881742880
- Entity type
- Organization (NPI-2)
- Legal business name
- Mitchells Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Jun 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY.002804-IR | LA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2804 | LA | |
| 333600000X | Pharmacy | 2804 | LA | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 2804 | LA |
Other names
- Mitchells Pharmacy INC (Doing Business As)
Practice location
202 E Main StJonesboro, LA 71251
Phone 318-259-7466 · Fax 318-259-8019
Mailing address
202 E Main StJonesboro, LA 71251-3202
Phone 318-259-7466 · Fax 318-259-8019
Authorized official
Dwayne Mitchell
Owner & Pharmacist
3182597466
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