Marshall Road Pharmacy

LBN: Gary Benton Inc
Marshall Road Pharmacy is an health care organization with primary practice located at 811 Marshall Rd , Jacksonville AR 72076-3744. 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. Gary Benton Inc can be contacted via phone (501) 982-3551, or through Benton, Gary via phone (501) 982-3551.

Contact Information

Primary practice address
811 Marshall Rd Jacksonville AR 72076-3744
Phone: (501) 982-3551
Fax: (501) 982-2010
Website:
Map and Directions
Authorized official contact:
Name: Benton, Gary
Phone: (501) 982-3551

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20238 Arkansas

Profile Details

NPI number 1275674905
LBN Legal business name Gary Benton Inc
DBA Doing business as Marshall Road Pharmacy
Authorized official Benton, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Apr 13th, 2017 - about 7 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 1275674905 NPPES
Other 1994535 PK
MEDICAID 140212407 PK

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