Hyde Pharmacy Ltc

LBN: Hyde Pharmacy Inc
Hyde Pharmacy Ltc is an health care organization with primary practice located at 1001 W Kingshighway , Paragould AR 72450-4142. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Hyde Pharmacy Inc can be contacted via phone (870) 239-4036, or through Kuenzel, Kenneth via phone (870) 239-4036.

Contact Information

Primary practice address
1001 W Kingshighway Paragould AR 72450-4142
Phone: (870) 239-4036
Fax: (870) 239-9478
Website:
Map and Directions
Authorized official contact:
Name: Kuenzel, Kenneth PHARM D
Phone: (870) 239-4036

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1396526661
LBN Legal business name Hyde Pharmacy Inc
DBA Doing business as Hyde Pharmacy Ltc
Authorized official Kuenzel, Kenneth PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2023
Last updated Mar 15th, 2024 - about 8 months 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 1396526661 NPPES
Arkansas MEDICAID 117466407

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