Healthcare Provider Details

I. General information

NPI: 1720414899
Provider Name (Legal Business Name): PILCHER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 N EDMONDS AVE
MC CRORY AR
72101-8278
US

IV. Provider business mailing address

PO BOX 436 711 NO. EDMONDS ST
MC CRORY AR
72101-0436
US

V. Phone/Fax

Practice location:
  • Phone: 870-731-2361
  • Fax: 870-731-0075
Mailing address:
  • Phone: 870-731-2361
  • Fax: 870-731-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberAR09397
License Number StateAR

VIII. Authorized Official

Name: DR. REBECCA PILCHER
Title or Position: OWNER
Credential: PD
Phone: 870-731-2361