Prince Drug Store Inc
LBN: Prince Drug Store Inc
Prince Drug Store Inc is an health care organization with primary practice located at 1112 Towson Ave , Fort Smith AR 72901-5002. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Prince Drug Store Inc can be contacted via phone (479) 782-9210, or through Lunsford, Daniel via phone (479) 782-9210.
Contact Information
Primary practice address
1112 Towson Ave
Fort Smith AR 72901-5002
Phone: (479) 782-9210
Fax: (479) 782-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR00628 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1417039298 |
|---|---|
| LBN Legal business name | Prince Drug Store Inc |
| DBA Doing business as | Prince Drug Store Inc |
| Authorized official | Lunsford, Daniel PD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | May 23rd, 2016 - about 8 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 | 1417039298 | NPPES |
| Oklahoma | MEDICAID | 100231570A | |
| Oklahoma | Other | 1992747 | |
| Oklahoma | MEDICAID | 100026407 |
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