Clinic Pharmacy Of Monticello

LBN: Mainline Pharmacy Services Inc
Clinic Pharmacy Of Monticello is an health care organization with primary practice located at 535 Jordan Dr Ste B , Monticello AR 71655-5714. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mainline Pharmacy Services Inc can be contacted via phone (870) 224-0650, or through Crouse, Khalil L via phone (870) 265-6604.

Contact Information

Primary practice address
535 Jordan Dr Ste B Monticello AR 71655-5714
Phone: (870) 224-0650
Fax: (870) 224-0652
Website:
Map and Directions
Authorized official contact:
Name: Crouse, Khalil L
Phone: (870) 265-6604

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013589514
LBN Legal business name Mainline Pharmacy Services Inc
DBA Doing business as Clinic Pharmacy Of Monticello
Authorized official Crouse, Khalil L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2021
Last updated Sep 13th, 2021 - about 4 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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