Medicap Pharmacy

LBN: Nic-Hil Inc
Medicap Pharmacy is an health care organization with primary practice located at 2818 W Martin Luther King Blvd , Fayetteville AR 72704-7625. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nic-Hil Inc can be contacted via phone (479) 571-4545, or through Box, Randy via phone (479) 571-4545.

Contact Information

Primary practice address
2818 W Martin Luther King Blvd Fayetteville AR 72704-7625
Phone: (479) 571-4545
Fax: (479) 571-4050
Website:
Map and Directions
Authorized official contact:
Name: Box, Randy RPH
Phone: (479) 571-4545

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0420120 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366514143
LBN Legal business name Nic-Hil Inc
DBA Doing business as Medicap Pharmacy
Authorized official Box, Randy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 7th, 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 1366514143 NPPES
Arkansas MEDICAID 134268407
Arkansas Other 0420199
Arkansas MEDICAID 13507716

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