Hyde Pharmacy Inc (Immunization)
LBN: Hyde Pharmacy Inc (Immunization)
Hyde Pharmacy Inc (Immunization) is an health care organization with primary practice located at 1001 W Kingshighway , Paragould AR 72450-4142. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hyde Pharmacy Inc (Immunization) can be contacted via phone (870) 239-4036, or through Kuenzel, Kenneth Robert 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR16734 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | AR16734 | Arkansas |
Profile Details
| NPI number | 1538597752 |
|---|---|
| LBN Legal business name | Hyde Pharmacy Inc (Immunization) |
| DBA Doing business as | |
| Authorized official | Kuenzel, Kenneth Robert PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2013 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538597752 | NPPES |
| Arkansas | MEDICAID | 117466407 | |
| Arkansas | MEDICAID | 166898716 |
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