Cornerstone Pharmacy Jfk, Llc
LBN: Cornerstone Pharmacy Jfk Llc
Cornerstone Pharmacy Jfk, Llc is an health care organization with primary practice located at 5328 John F Kennedy Blvd , North Little Rock AR 72116-6704. 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.
Cornerstone Pharmacy Jfk Llc can be contacted via phone (501) 246-5035, or through Harrison, Kenny via phone (501) 580-1895.
Contact Information
Primary practice address
5328 John F Kennedy Blvd
North Little Rock AR 72116-6704
Phone: (501) 246-5035
Fax: (501) 246-5448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20689 | Arkansas |
Profile Details
| NPI number | 1104179274 |
|---|---|
| LBN Legal business name | Cornerstone Pharmacy Jfk Llc |
| DBA Doing business as | Cornerstone Pharmacy Jfk, Llc |
| Authorized official | Harrison, Kenny |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2012 |
| Last updated | Feb 21st, 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 | 1104179274 | NPPES |
| Other | 2136806 | PK | |
| MEDICAID | 196600407 | PK |
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Cornerstone Pharmacy Jfk, Llc
5328 John F Kennedy Blvd , North Little Rock AR 72116-6704