Medipharm Pharmacy

LBN: Medipharm Inc
Medipharm Pharmacy is an health care organization with primary practice located at 125 W Polk Ave , West Memphis AR 72301-4264. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medipharm Inc can be contacted via phone (870) 394-4209, or through Oti, Chiemezie via phone (870) 394-4209.

Contact Information

Primary practice address
125 W Polk Ave West Memphis AR 72301-4264
Phone: (870) 394-4209
Fax: (901) 382-9966
Website:
Map and Directions
Authorized official contact:
Name: Oti, Chiemezie
Phone: (870) 394-4209

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20617 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1144559592
LBN Legal business name Medipharm Inc
DBA Doing business as Medipharm Pharmacy
Authorized official Oti, Chiemezie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2009
Last updated Feb 10th, 2010 - 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 1144559592 NPPES
Other 0423311 NCPDP PROVIDER IDENTIFICATION NUMBER

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