Paragould Pharmacy Inc
LBN: Paragould Pharmacy Inc
Paragould Pharmacy Inc is an health care organization with primary practice located at 2700 W Kingshighway Ste 3, Paragould AR 72450-2601. 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.
Paragould Pharmacy Inc can be contacted via phone (870) 215-5255, or through Register, Chad via phone (871) 215-2522.
Contact Information
Primary practice address
2700 W Kingshighway Ste 3
Paragould AR 72450-2601
Phone: (870) 215-5255
Fax: (870) 215-5257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20372 | Arkansas |
Profile Details
| NPI number | 1518065549 |
|---|---|
| LBN Legal business name | Paragould Pharmacy Inc |
| DBA Doing business as | Paragould Pharmacy Inc |
| Authorized official | Register, Chad RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 9th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518065549 | NPPES |
| Other | 0421913 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 150820407 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 606130300 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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