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NPI 1154357374

NPI 1154357374 : BRINKLEY DRUG COMPANY : BRINKLEY, AR

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General NPI Number Information
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    NPI Number           |    1154357374
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRINKLEY DRUG COMPANY 
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Dates
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    Enumeration Date     |    06/23/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    129 W CYPRESS ST 
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    City                 |    BRINKLEY
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    State                |    AR
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    Zip                  |    72021-2833
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    Country              |    US
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    Telephone            |    870-734-2344
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    Fax                  |    870-734-4115
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Provider Business Mailing Address
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    Address Line         |    129 W CYPRESS ST 
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    City                 |    BRINKLEY
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    State                |    AR
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    Zip                  |    72021-2833
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CARLA  MEYERS 
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    Credential           |    PD
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    Telephone            |    870-734-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    AR12469
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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