Futrell Pharmacy Inc

LBN: Futrell Pharmacy Inc
Futrell Pharmacy Inc is an health care organization with primary practice located at 115 E Broadway St , Pocahontas AR 72455-3402. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Futrell Pharmacy Inc can be contacted via phone (870) 892-5616, or through Futrell, Jeffrey Mark via phone (870) 892-5615.

Contact Information

Primary practice address
115 E Broadway St Pocahontas AR 72455-3402
Fax: (870) 892-2592
Website:
Authorized official contact:
Name: Futrell, Jeffrey Mark P.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 110305716 Arkansas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 122010733 Arkansas
Suppliers / Pharmacy 333600000X AR05743 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1780681932
LBN Legal business name Futrell Pharmacy Inc
DBA Doing business as
Authorized official Futrell, Jeffrey Mark P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 7th, 2023 - about last year

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 1780681932 NPPES
Arkansas MEDICAID 110305716
Arkansas MEDICAID 122010733
Arkansas Other 0405743
Arkansas MEDICAID 100288407

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