Delta Drug Of Dermott, Inc

LBN: Delta Drug Of Dermott, Inc
Delta Drug Of Dermott, Inc is an health care organization with primary practice located at 111 E Peddicord St , Dermott AR 71638-2314. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Delta Drug Of Dermott, Inc can be contacted via phone (870) 538-5510, or through Crouse, Khalil Lynn via phone (870) 538-5510.

Contact Information

Primary practice address
111 E Peddicord St Dermott AR 71638-2314
Phone: (870) 538-5510
Fax: (870) 538-5717
Website:
Map and Directions
Authorized official contact:
Name: Crouse, Khalil Lynn PHARMD, FAARM
Phone: (870) 538-5510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 65032 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1427191154
LBN Legal business name Delta Drug Of Dermott, Inc
DBA Doing business as
Authorized official Crouse, Khalil Lynn PHARMD, FAARM
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Feb 7th, 2020 - about 4 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 1427191154 NPPES
Arkansas MEDICAID 100262407

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