Bradley'S Healthmart

LBN: Lyon Drug Company Maumelle Inc
Bradley'S Healthmart is an health care organization with primary practice located at 1900 Club Manor Dr Ste 101 , Maumelle AR 72113-7443. 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. Lyon Drug Company Maumelle Inc can be contacted via phone (501) 803-9400, or through Bradley, Brent via phone (501) 553-3604.

Contact Information

Primary practice address
1900 Club Manor Dr Ste 101 Maumelle AR 72113-7443
Phone: (501) 803-9400
Fax: (501) 803-9441
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Brent RPH
Phone: (501) 553-3604

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20638 Arkansas

Profile Details

NPI number 1407157167
LBN Legal business name Lyon Drug Company Maumelle Inc
DBA Doing business as Bradley'S Healthmart
Authorized official Bradley, Brent RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2010
Last updated Apr 5th, 2017 - about 7 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 1407157167 NPPES
Arkansas MEDICAID 186574407
Arkansas Other 2127857

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