Park West Pharmacy

LBN: Park West Pharmacy
Park West Pharmacy is an health care organization with primary practice located at 904 Autumn Rd Suite 275, Little Rock AR 72211-3702. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Park West Pharmacy can be contacted via phone (501) 224-3499, or through Bloodworth, Bill via phone (501) 224-3499.

Contact Information

Primary practice address
904 Autumn Rd Suite 275 Little Rock AR 72211-3702
Phone: (501) 224-3499
Fax: (501) 224-1140
Website:
Map and Directions
Authorized official contact:
Name: Bloodworth, Bill
Phone: (501) 224-3499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 69175 Arkansas

Profile Details

NPI number 1053308940
LBN Legal business name Park West Pharmacy
DBA Doing business as
Authorized official Bloodworth, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Sep 12th, 2012 - about 12 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 1053308940 NPPES
Arkansas MEDICAID 100701407

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