Econo-Med Of Walnut Ridge Inc

LBN: Econo-Med Of Walnut Ridge Inc
Econo-Med Of Walnut Ridge Inc is an health care organization with primary practice located at 1045 W Main St Ste B, Walnut Ridge AR 72476-1004. 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. Econo-Med Of Walnut Ridge Inc can be contacted via phone (870) 886-5200, or through Ishmael, Greta via phone (870) 856-4696.

Contact Information

Primary practice address
1045 W Main St Ste B Walnut Ridge AR 72476-1004
Phone: (870) 886-5200
Fax: (870) 886-7553
Website:
Map and Directions
Authorized official contact:
Name: Ishmael, Greta
Phone: (870) 856-4696

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20135 Arkansas

Profile Details

NPI number 1063948289
LBN Legal business name Econo-Med Of Walnut Ridge Inc
DBA Doing business as
Authorized official Ishmael, Greta
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2017
Last updated May 3rd, 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 1063948289 NPPES
Other 2168755 PK
MEDICAID 219073407 PK

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