Medical Park Pharmacy

LBN: Medical Park Pharmacy Llc
Medical Park Pharmacy is an health care organization with primary practice located at 121 E Van Buren Ste C , Eureka Springs AR 72632-3658. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Park Pharmacy Llc can be contacted via phone (479) 253-9751, or through Mccallough, Vada via phone (479) 253-9751.

Contact Information

Primary practice address
121 E Van Buren Ste C Eureka Springs AR 72632-3658
Fax: (479) 253-7149
Website:
Authorized official contact:
Name: Mccallough, Vada RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20264 Arkansas
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1558324624
LBN Legal business name Medical Park Pharmacy Llc
DBA Doing business as Medical Park Pharmacy
Authorized official Mccallough, Vada RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 27th, 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 1558324624 NPPES
Missouri MEDICAID 605854900
Missouri Other 1992914
Missouri MEDICAID 142172407

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