Kavanaugh Pharmacy

LBN: Kavanaugh Pharmacy
Kavanaugh Pharmacy is an health care organization with primary practice located at 5008 Kavanaugh Blvd , Little Rock AR 72207-4747. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kavanaugh Pharmacy can be contacted via phone (501) 664-3844, or through Cooper, Thomas Gregory via phone (501) 664-3844.

Contact Information

Primary practice address
5008 Kavanaugh Blvd Little Rock AR 72207-4747
Phone: (501) 664-3844
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Thomas Gregory P.D.
Phone: (501) 664-3844

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR04183 Arkansas

Profile Details

NPI number 1093858698
LBN Legal business name Kavanaugh Pharmacy
DBA Doing business as
Authorized official Cooper, Thomas Gregory P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Mar 7th, 2023 - about last year

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 1093858698 NPPES
Other 0404183 NCPDP NUMBER

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