Kondo Drug Store

LBN: Kondo Enterprises Corp
Kondo Drug Store is an health care organization with primary practice located at 11321 Interstate 30 Suite 102, Little Rock AR 72209-7040. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Kondo Enterprises Corp can be contacted via phone (501) 353-2136, or through Kondo, Yao via phone (501) 353-2136.

Contact Information

Primary practice address
11321 Interstate 30 Suite 102 Little Rock AR 72209-7040
Phone: (501) 353-2136
Fax: (501) 353-2594
Website:
Map and Directions
Authorized official contact:
Name: Kondo, Yao P.D.
Phone: (501) 353-2136

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD08105 Arkansas

Profile Details

NPI number 1184765315
LBN Legal business name Kondo Enterprises Corp
DBA Doing business as Kondo Drug Store
Authorized official Kondo, Yao P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Apr 27th, 2012 - about 13 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 1184765315 NPPES
Arkansas Other 0418649 NCPDP
Arkansas MEDICAID 126154407 NCPDP

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