Prince Pharmacy
LBN: College Pharmacy Inc
Prince Pharmacy is an health care organization with primary practice located at 211 E Stadium , Magnolia AR 71753-2032. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
College Pharmacy Inc can be contacted via phone (870) 234-7292, or through Prince, Jeffrey via phone (870) 234-7292.
Contact Information
Primary practice address
211 E Stadium
Magnolia AR 71753-2032
Phone: (870) 234-7292
Fax: (870) 234-4443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20042 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1023099660 |
|---|---|
| LBN Legal business name | College Pharmacy Inc |
| DBA Doing business as | Prince Pharmacy |
| Authorized official | Prince, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Feb 16th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023099660 | NPPES |
| Arkansas | MEDICAID | 112438407 | |
| Arkansas | MEDICAID | 1275361 | |
| Arkansas | Other | 1994732 |
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