Portland Drug Llc
Community/Retail Pharmacy
105 Highway 165 S, Portland
Arkansas, 71663-9251
870-737-2813 870-737-2781
Portland Drug Llc is not a DME supplier for medicare equipments and products.
Portland Drug Llc is a Community/Retail Pharmacy in Portland, Arkansas. It is located at 105 Highway 165 S, Portland and it's customer support contact number is 870-737-2813. The authorized person of Portland Drug Llc is Dr. Khalil Lynn Crouse who is Owner/pharmacist of the pharmacy and his contact number is 870-265-2220. Active license number of Portland Drug Llc is AR11429 for Community/Retail Pharmacy in Arkansas.
Portland Drug Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Portland Drug Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Portland Drug Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 105 Highway 165 S, Portland, Arkansas, 71663-9251 |
| Phone: | 870-737-2813 |
| Fax: | 870-737-2781 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Khalil Lynn Crouse |
| Position: | Owner/pharmacist |
| Contact Number: | 870-265-2220 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1942611504 |
| NPI Enumeration Date: | 16 May, 2014 |
| NPI Last Update On: | 02 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portland Drug Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | AR11429 | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 204989407 | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 552, Lake Village, Arkansas |
| Zip: | 71653-0552 |
| Phone Number: | 870-265-2220 |
| Fax Number: | 870-265-3538 |
Patients can reach Portland Drug Llc at
105 Highway 165 S, Portland, Arkansas or can
call on customer care at 870-737-2813.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.