American Home Pharmacy

LBN: American Home Pharmacy Llc
American Home Pharmacy is an health care organization with primary practice located at 454 Ingram St , Clinton AR 72031-7078. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. American Home Pharmacy Llc can be contacted via phone (501) 745-4266, or through Riddle, Jeremy via phone (501) 745-4266.

Contact Information

Primary practice address
454 Ingram St Clinton AR 72031-7078
Fax: (501) 745-5707
Website:
Authorized official contact:
Name: Riddle, Jeremy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20639 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1619246493
LBN Legal business name American Home Pharmacy Llc
DBA Doing business as American Home Pharmacy
Authorized official Riddle, Jeremy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated Apr 23rd, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619246493 NPPES
Arkansas MEDICAID 190897407
Arkansas Other 2133298

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