De Queen Health And Wellness Pharmacy
LBN: De Queen Health And Wellness Pharmacy Llc
De Queen Health And Wellness Pharmacy is an health care organization with primary practice located at 1357 W Collin Raye Dr , De Queen AR 71832-2946. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
De Queen Health And Wellness Pharmacy Llc can be contacted via phone (870) 642-4458, or through Barber, Chester via phone (870) 642-2400.
Contact Information
Primary practice address
1357 W Collin Raye Dr
De Queen AR 71832-2946
Phone: (870) 642-4458
Fax: (870) 642-5526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20221 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1740420157 |
|---|---|
| LBN Legal business name | De Queen Health And Wellness Pharmacy Llc |
| DBA Doing business as | De Queen Health And Wellness Pharmacy |
| Authorized official | Barber, Chester |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2009 |
| Last updated | Sep 27th, 2011 - about 13 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 | 1740420157 | NPPES |
| Oklahoma | MEDICAID | 200018110A | |
| Oklahoma | MEDICAID | 155535407 | |
| Oklahoma | MEDICAID | 164404716 | |
| Oklahoma | Other | 0421026 |
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