Econo-Mart Pharmacy Inc

LBN: Econo-Mart Pharmacy Inc
Econo-Mart Pharmacy Inc is an health care organization with primary practice located at 1595 Harrison St , Batesville AR 72501-7222. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Econo-Mart Pharmacy Inc can be contacted via phone (870) 793-4179, or through Holifield, Paul via phone (870) 793-4179.

Contact Information

Primary practice address
1595 Harrison St Batesville AR 72501-7222
Fax: (870) 793-7303
Website:
Authorized official contact:
Name: Holifield, Paul PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR14083 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1679568729
LBN Legal business name Econo-Mart Pharmacy Inc
DBA Doing business as
Authorized official Holifield, Paul PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 26th, 2018 - about 6 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 1679568729 NPPES
Other 1994551 PK
MEDICAID 100761467 PK

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