Oak Grove Pharmacy

LBN: Oak Grove Pharmacy Inc
Oak Grove Pharmacy is an health care organization with primary practice located at 11114 Mac Arthur Dr , North Little Rock AR 72118-1854. 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. Oak Grove Pharmacy Inc can be contacted via phone (501) 851-3636, or through Hyatt, Jacob via phone (501) 851-3636.

Contact Information

Primary practice address
11114 Mac Arthur Dr North Little Rock AR 72118-1854
Phone: (501) 851-3636
Fax: (501) 851-3640
Website:
Map and Directions
Authorized official contact:
Name: Hyatt, Jacob
Phone: (501) 851-3636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR10174 Arkansas

Profile Details

NPI number 1316922487
LBN Legal business name Oak Grove Pharmacy Inc
DBA Doing business as Oak Grove Pharmacy
Authorized official Hyatt, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 6th, 2021 - about 3 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 1316922487 NPPES
Arkansas MEDICAID 100524407
Arkansas Other 2125605

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