Organization Name: | CAVE CITY PHARMACY |
NPI Number: | 1043340789 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER DAVIS (OWNER) |
Mailing Address: | 301 S Main St Suite C Cave City |
State: | AR US |
Postal Code: | 725219476 |
Phone Number: | 8702835589 |
Fax Number: | 8702835636 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |