Express Rx Of Pine Bluff

LBN: Scpg Arkansas Llc
Express Rx Of Pine Bluff is an health care organization with primary practice located at 3006 W 28Th Ave , Pine Bluff AR 71603-4803. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Scpg Arkansas Llc can be contacted via phone (870) 850-0159, or through Perkins, Galen via phone (870) 850-0159.

Contact Information

Primary practice address
3006 W 28Th Ave Pine Bluff AR 71603-4803
Phone: (870) 850-0159
Fax: (870) 850-0177
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Galen
Phone: (870) 850-0159

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR20725 Arkansas

Profile Details

NPI number 1528463775
LBN Legal business name Scpg Arkansas Llc
DBA Doing business as Express Rx Of Pine Bluff
Authorized official Perkins, Galen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2014
Last updated Jan 15th, 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 1528463775 NPPES
Arkansas MEDICAID 198211407
Arkansas Other 0424414

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