Monticello Drug Inc in Monticello - Long Term Care Pharmacy
Monticello Drug Inc - NPI 1417021932
Monticello Drug Inc is a Long Term Care Pharmacy in Monticello, Arkansas. Monticello Drug Inc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Monticello Drug Inc is 1417021932. The last update date is 2020-08-22.
Monticello Drug Inc's current location address is 109 W Gaines St, Monticello, Arkansas. You can contact this provider via phone number 8703676291 and fax number 8703672403. The mailing address for Monticello Drug Inc is 109 W Gaines St, Monticello, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Monticello Drug Inc |
|---|---|
| Address | 109 W Gaines St, Monticello, Arkansas |
| Phone Number | 8703676291 |
| Fax Number | 8703672403 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Koen Donald |
| Credentials | PD |
| Telephone Number | 8703676291 |
NPI Number Detail
| NPI Number | 1417021932 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 109 W Gaines St |
|---|---|
| City | Monticello |
| State | Arkansas (AR) |
| Post Code | 716554717 |
| Phone Number | 8703676291 |
| Fax Number | 8703672403 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 404804 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Monticello Drug Inc by the Centers for Medicare & Medicaid Services?
The Monticello Drug Inc has been assigned the NPI (National Provider Identifier) 1417021932 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Monticello Drug Inc is geographically located?
The Monticello Drug Inc is physically situated at the following location: 109 W Gaines St, Monticello, AR, 716554717.
What is Monticello Drug Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Monticello Drug Inc is Long Term Care Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336L0003X.
On what date did the Monticello Drug Inc receive its 1417021932 assignment from the Centers for Medicare & Medicaid Services?
The Monticello Drug Inc was assigned its 1417021932 by the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date was the information regarding Monticello Drug Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Monticello Drug Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.