Healthcare Provider Details
I. General information
NPI: 1174623912
Provider Name (Legal Business Name): US DRUGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2006
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 E MAIN ST
GREENBRIER AR
72058-9208
US
IV. Provider business mailing address
PO BOX 128
GREENBRIER AR
72058-0128
US
V. Phone/Fax
- Phone: 501-679-2211
- Fax: 501-679-5146
- Phone: 501-679-2211
- Fax: 501-679-5146
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RAYMOND
CHARLES
REYNOLDS
Title or Position: PHARMACIST/OWNER
Credential: PD
Phone: 501-679-2211