Provider Demographics
NPI:1588431563
Name:ECONOMY DRUG OF BENTON LLC
Entity type:Organization
Organization Name:ECONOMY DRUG OF BENTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:501-776-2716
Mailing Address - Street 1:500 EDISON
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-5361
Mailing Address - Country:US
Mailing Address - Phone:501-776-2716
Mailing Address - Fax:501-776-0451
Practice Address - Street 1:500 EDISON
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-5361
Practice Address - Country:US
Practice Address - Phone:501-776-2716
Practice Address - Fax:501-776-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy