River Valley Specialty Pharmacy

LBN: Moss Holland Enterprises Llc
River Valley Specialty Pharmacy is an health care organization with primary practice located at 11621 Rainwood Rd Ste 7 , Little Rock AR 72212-3947. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moss Holland Enterprises Llc can be contacted via phone (501) 222-1002, or through Holland, Mark via phone (803) 447-1959.

Contact Information

Primary practice address
11621 Rainwood Rd Ste 7 Little Rock AR 72212-3947
Phone: (501) 222-1002
Fax: (501) 222-1807
Website:
Map and Directions
Authorized official contact:
Name: Holland, Mark PHARMD
Phone: (803) 447-1959

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1538858394
LBN Legal business name Moss Holland Enterprises Llc
DBA Doing business as River Valley Specialty Pharmacy
Authorized official Holland, Mark PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2023
Last updated Jul 1st, 2023 - about last year

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 1538858394 NPPES
Other 1245929934 PIC NPI

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