Cornerstone Specialty Pharmacy Llc

LBN: Cornerstone Specialty Pharmacy Llc
Cornerstone Specialty Pharmacy Llc is an health care organization with primary practice located at 1450 E Zion Rd Ste 1 , Fayetteville AR 72703-4988. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cornerstone Specialty Pharmacy Llc can be contacted via phone (479) 444-7200, or through Holderfield, Zach via phone (479) 444-7200.

Contact Information

Primary practice address
1450 E Zion Rd Ste 1 Fayetteville AR 72703-4988
Fax: (479) 444-7205
Website:
Authorized official contact:
Name: Holderfield, Zach PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR20645 Arkansas
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1629377742
LBN Legal business name Cornerstone Specialty Pharmacy Llc
DBA Doing business as Cornerstone Specialty Pharmacy Llc
Authorized official Holderfield, Zach PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2011
Last updated Mar 29th, 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 1629377742 NPPES
Arkansas MEDICAID 190028407
Arkansas MEDICAID 201829716
Arkansas Other 2129471

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