COLEMAN BUTLER FT SMITH LLC
3610 Grand Ave
Fort Smith, AR 72904
479-783-5171
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | AR | AR10908 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100239790A | OK | MEDICAID | |
PK | 1994117 | OTHER | |
100228407 | AR | MEDICAID |