Oak Park Pharmacy

LBN: Jackson Pharmacy Inc
Oak Park Pharmacy is an health care organization with primary practice located at 1305 White Dr , Batesville AR 72501-9467. 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. Jackson Pharmacy Inc can be contacted via phone (870) 698-1974, or through Jackson, Lonnie via phone (870) 698-1974.

Contact Information

Primary practice address
1305 White Dr Batesville AR 72501-9467
Phone: (870) 698-1974
Fax: (870) 698-0141
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Lonnie PD
Phone: (870) 698-1974

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR13396 Arkansas

Profile Details

NPI number 1770570491
LBN Legal business name Jackson Pharmacy Inc
DBA Doing business as Oak Park Pharmacy
Authorized official Jackson, Lonnie PD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 5th, 2016 - about 9 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 1770570491 NPPES
Other 1994353 PK
MEDICAID 114918407 PK

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