Baker Drug Store

LBN: Baker Drug Company
Baker Drug Store is an health care organization with primary practice located at 924 Front St , Conway AR 72032-4304. 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. Baker Drug Company can be contacted via phone (501) 329-5626, or through Hendrickson, James via phone (501) 329-5626.

Contact Information

Primary practice address
924 Front St Conway AR 72032-4304
Phone: (501) 329-5626
Fax: (501) 329-1977
Website:
Map and Directions
Authorized official contact:
Name: Hendrickson, James PHARM D
Phone: (501) 329-5626

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR02127 Arkansas

Profile Details

NPI number 1306843016
LBN Legal business name Baker Drug Company
DBA Doing business as Baker Drug Store
Authorized official Hendrickson, James PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 9th, 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 1306843016 NPPES
Other 1992895 PK
MEDICAID 100179407 PK

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