Miller'S Drug Store

LBN: Millers Drug Store Inc
Miller'S Drug Store is an health care organization with primary practice located at 231 S Main St , Malvern AR 72104-3736. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Millers Drug Store Inc can be contacted via phone (501) 332-2351, or through Miller, Lynn via phone (501) 332-2351.

Contact Information

Primary practice address
231 S Main St Malvern AR 72104-3736
Fax: (501) 337-9705
Website:
Authorized official contact:
Name: Miller, Lynn

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR04474 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1801985452
LBN Legal business name Millers Drug Store Inc
DBA Doing business as Miller'S Drug Store
Authorized official Miller, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 29th, 2016 - about 8 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 1801985452 NPPES
Other 1993252 PK
MEDICAID 135720407 PK

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