Gammel'S Clinic Pharmacy
LBN: Icarerx, Inc
Gammel'S Clinic Pharmacy is an health care organization with primary practice located at 909 Unity Rd , Crossett AR 71635. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Icarerx, Inc can be contacted via phone (870) 364-5100, or through Shoffner, William Eric via phone (870) 364-5100.
Contact Information
Primary practice address
909 Unity Rd
Crossett AR 71635
Phone: (870) 364-5100
Fax: (870) 364-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20146 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1083754816 |
|---|---|
| LBN Legal business name | Icarerx, Inc |
| DBA Doing business as | Gammel'S Clinic Pharmacy |
| Authorized official | Shoffner, William Eric PD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083754816 | NPPES |
| Arkansas | MEDICAID | 135016407 |
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