Healthcare Provider Details

I. General information

NPI: 1699549063
Provider Name (Legal Business Name): RECTOR DOWNTOWN DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E 9TH ST
RECTOR AR
72461-2606
US

IV. Provider business mailing address

316 E 9TH ST
RECTOR AR
72461-2606
US

V. Phone/Fax

Practice location:
  • Phone: 870-595-3523
  • Fax:
Mailing address:
  • Phone: 870-595-3523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY ANN LOVRIEN
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM D
Phone: 870-595-3523