Organization · Type 2 NPI
City Drug and Soda Fountain
Durable Medical Equipment & Medical Supplies · Mount Ida, AR
NPI number
1861585002
Active
Practice location
121 W S West Street
Mount Ida, AR 71957
Fax (870) 867-4848
Mailing address
PO Box 865
Mount Ida, AR 71957-0865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
| Pharmacy | 333600000X | AR18598 (AR) |
| Community/Retail Pharmacy | 3336C0003X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1861585002
City Drug and Soda Fountain's National Provider Identifier is 1861585002, issued on Oct 2, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Mount Ida, AR. The record was last updated on Sep 11, 2025.