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MAINLINE PHARMACY SERVICES INC NPI 1013589514


NPI Information

NPI: 1013589514
Provider Name: MAINLINE PHARMACY SERVICES INC

Doing Business As: CLINIC PHARMACY OF MONTICELLO

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
535 JORDAN DR STE B
MONTICELLO, AR
ZIP 71655
Phone: (870) 224-0650
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MAINLINE PHARMACY SERVICES INC is a community/retail pharmacy pharmacy in Monticello, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MAINLINE PHARMACY SERVICES INC NPI is 1013589514. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinic Pharmacy Of Monticello.

The provider's business location address is:

535 JORDAN DR STE B
MONTICELLO, AR
ZIP 71655-714
Phone: (870) 224-0650
Fax: (870) 224-0652

The provider's authorized official is Khalil L Crouse .
The authorized official title is President and has the following contact phone number (870) 265-6604.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 9/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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