Clarksville Family Pharmacy

LBN: Clarksville Family Pharmacy Inc
Clarksville Family Pharmacy is an health care organization with primary practice located at 510 S Rogers St Ste 3 , Clarksville AR 72830-3792. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clarksville Family Pharmacy Inc can be contacted via phone (479) 647-3138, or through Lee, Ward via phone (479) 774-5921.

Contact Information

Primary practice address
510 S Rogers St Ste 3 Clarksville AR 72830-3792
Phone: (479) 647-3138
Fax: (479) 647-3144
Website:
Map and Directions
Authorized official contact:
Name: Lee, Ward P.D.
Phone: (479) 774-5921

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20656 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1194010421
LBN Legal business name Clarksville Family Pharmacy Inc
DBA Doing business as Clarksville Family Pharmacy
Authorized official Lee, Ward P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2011
Last updated Dec 16th, 2016 - about 9 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 1194010421 NPPES
Other 2129945 PK
MEDICAID 187120407 PK

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