Healthcare Provider Details

I. General information

NPI: 1982719902
Provider Name (Legal Business Name): CITY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 S PARK ST
POCAHONTAS AR
72455-3132
US

IV. Provider business mailing address

606 S PARK ST
POCAHONTAS AR
72455-3132
US

V. Phone/Fax

Practice location:
  • Phone: 870-892-5517
  • Fax: 870-892-4091
Mailing address:
  • Phone: 870-892-5517
  • Fax: 870-892-4091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR11001
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARETHA SMITH
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 870-892-5517