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BOBBY TEETERS DRUG STORE INC NPI 1922192327


NPI Information

NPI: 1922192327
Provider Name: BOBBY TEETERS DRUG STORE INC

Doing Business As: BOBBY TEETERS DRUG STORE INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
200 W MAIN ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-2196
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BOBBY TEETERS DRUG STORE INC is a community/retail pharmacy pharmacy in Clarksville, 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. BOBBY TEETERS DRUG STORE INC NPI is 1922192327. The provider is registered as an organization entity type.
The provider Is Doing Business As Bobby Teeters Drug Store Inc.

The provider's business location address is:

200 W MAIN ST
CLARKSVILLE, AR
ZIP 72830-010
Phone: (479) 754-2196
Fax: (479) 754-8885

The provider's authorized official is Robert Teeter .
The authorized official title is Owner Pic and has the following contact phone number (479) 754-2196.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/18/2011.


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
23336C0003XPharmacyCommunity/Retail PharmacyAR11847ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10411847OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2100098407MEDICAIDARKANSAS

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: 4/28/2024

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