Healthcare Provider Details

I. General information

NPI: 1811902091
Provider Name (Legal Business Name): DEANS PHARMACIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 S WHITEHEAD DR
DEWITT AR
72042-2994
US

IV. Provider business mailing address

1640 S WHITEHEAD DR
DEWITT AR
72042-2994
US

V. Phone/Fax

Practice location:
  • Phone: 870-946-2381
  • Fax:
Mailing address:
  • Phone: 870-946-2381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR17661
License Number StateAR

VIII. Authorized Official

Name: HOWARD DEAN WATTS
Title or Position: PRESIDENT/PHARMACIST
Credential: P.D.
Phone: 870-946-2381