Midland Drug, Inc.

LBN: River Valley Primary Care
Midland Drug, Inc. is an health care organization with primary practice located at 4900 Kelley Hwy , Fort Smith AR 72904-5000. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. River Valley Primary Care can be contacted via phone (479) 783-0221, or through White, Jerome J via phone (479) 431-2057.

Contact Information

Primary practice address
4900 Kelley Hwy Fort Smith AR 72904-5000
Phone: (479) 783-0221
Fax: (479) 783-8945
Website:
Map and Directions
Authorized official contact:
Name: White, Jerome J
Phone: (479) 431-2057

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR20392 Arkansas

Profile Details

NPI number 1609949163
LBN Legal business name River Valley Primary Care
DBA Doing business as Midland Drug, Inc.
Authorized official White, Jerome J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 14th, 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 1609949163 NPPES
Arkansas MEDICAID 100392407

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