Healthcare Provider Details

I. General information

NPI: 1972693950
Provider Name (Legal Business Name): HECTOR PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 03/07/2023
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11167 SR 27
HECTOR AR
72843
US

IV. Provider business mailing address

P.O. BOX 17
HECTOR AR
72843
US

V. Phone/Fax

Practice location:
  • Phone: 479-284-2011
  • Fax: 479-284-2032
Mailing address:
  • Phone: 479-284-2011
  • Fax: 479-284-2032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20394
License Number StateAR

VIII. Authorized Official

Name: DOUGLAS WRIGHT
Title or Position: OWNER
Credential: PHARM.D.
Phone: 479-284-2011