MEDICARE: BRINKLEY DRUG COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	AR12469	AR
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0412469	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1154357374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRINKLEY DRUG COMPANY

Provider Business Mailing Address
First Line	:	129 W CYPRESS ST
Second Line	:
City	:	BRINKLEY
State	:	AR
Zip	:	72021-2833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 W CYPRESS ST
Second Line	:
City	:	BRINKLEY
State	:	AR
Zip	:	72021-2833
Country	:	US
Telephone Number	:	870-734-2344
Fax Number	:	870-734-4115

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLA MEYERS
Credential	:	PD
Telephone Number	:	870-734-2344

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/11/2025

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Directions to “BRINKLEY DRUG COMPANY ” Practice Location

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