Provider Demographics
NPI:1891778635
Name:ALMA DISCOUNT PHARMACY INC
Entity type:Organization
Organization Name:ALMA DISCOUNT PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARITA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:479-632-2011
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-0190
Mailing Address - Country:US
Mailing Address - Phone:479-632-2011
Mailing Address - Fax:479-632-2060
Practice Address - Street 1:108 HIGHWAY 71 N
Practice Address - Street 2:SUITE 105
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-5024
Practice Address - Country:US
Practice Address - Phone:479-632-2011
Practice Address - Fax:479-632-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR-16772333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy