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
Phone: (479) 253-9751
Fax: (479) 253-7149
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558324624 | NPPES |
Missouri | MEDICAID | 605854900 | |
Missouri | Other | 1992914 | |
Missouri | MEDICAID | 142172407 |
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