Healthcare Provider Details

I. General information

NPI: 1457412298
Provider Name (Legal Business Name): STRECKERS DRUG INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 S SAINT LOUIS ST
BATESVILLE AR
72501-5821
US

IV. Provider business mailing address

770 S SAINT LOUIS ST
BATESVILLE AR
72501-5821
US

V. Phone/Fax

Practice location:
  • Phone: 870-698-1720
  • Fax: 870-793-6817
Mailing address:
  • Phone: 870-698-1720
  • Fax: 870-793-6817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAR00553
License Number StateAR

VIII. Authorized Official

Name: ANDREW STRECKER
Title or Position: PHARMACIST
Credential:
Phone: 870-793-6816