Heritage Pharmacy

LBN: Arch Street Ltc Pharmcy Llc
Heritage Pharmacy is an health care organization with primary practice located at 607 W Main St , Jacksonville AR 72076-4431. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Arch Street Ltc Pharmcy Llc can be contacted via phone (501) 475-0396, or through Mcmurry, Mark via phone (501) 650-4709.

Contact Information

Primary practice address
607 W Main St Jacksonville AR 72076-4431
Phone: (501) 475-0396
Fax: (501) 475-0398
Website:
Map and Directions
Authorized official contact:
Name: Mcmurry, Mark
Phone: (501) 650-4709

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20749 Arkansas

Profile Details

NPI number 1740693969
LBN Legal business name Arch Street Ltc Pharmcy Llc
DBA Doing business as Heritage Pharmacy
Authorized official Mcmurry, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2014
Last updated May 3rd, 2016 - about 8 years 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 1740693969 NPPES
Other 2146150 PK

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