Arch Street Pharmacy

LBN: Mam Enterprises Inc
Arch Street Pharmacy is an health care organization with primary practice located at 11200 Arch St , Little Rock AR 72206-4649. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mam Enterprises Inc can be contacted via phone (501) 261-7181, or through Mcmurry, Mark Alan via phone (501) 261-7181.

Contact Information

Primary practice address
11200 Arch St Little Rock AR 72206-4649
Fax: (501) 261-7307
Website:
Authorized official contact:
Name: Mcmurry, Mark Alan P.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR20275 Arkansas

Profile Details

NPI number 1487706925
LBN Legal business name Mam Enterprises Inc
DBA Doing business as Arch Street Pharmacy
Authorized official Mcmurry, Mark Alan P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 12th, 2011 - about 14 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 1487706925 NPPES
Arkansas MEDICAID 142625407
Arkansas Other 5G678

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