Fairfield Bay Pharmacy

LBN: Bennett Health Services, Inc.
Fairfield Bay Pharmacy is an health care organization with primary practice located at 367 Dave Creek Pkwy , Fairfield Bay AR 72088-3631. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bennett Health Services, Inc. can be contacted via phone (501) 884-3388, or through Treece, Jenny Boone via phone (501) 884-3388.

Contact Information

Primary practice address
367 Dave Creek Pkwy Fairfield Bay AR 72088-3631
Phone: (501) 884-3388
Fax: (501) 884-3301
Website:
Map and Directions
Authorized official contact:
Name: Treece, Jenny Boone PHARMD
Phone: (501) 884-3388

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X AR20041 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X AR20041 Arkansas

Profile Details

NPI number 1356335566
LBN Legal business name Bennett Health Services, Inc.
DBA Doing business as Fairfield Bay Pharmacy
Authorized official Treece, Jenny Boone PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
Last updated Aug 30th, 2022 - about 2 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 1356335566 NPPES
Arkansas MEDICAID 132833407
Arkansas Other 0416633
Arkansas MEDICAID 142981716
Arkansas Other AR20041

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