Smiths Country Club Drug Store Inc

LBN: Smiths Country Club Drug Store Inc
Smiths Country Club Drug Store Inc is an health care organization with primary practice located at 5114 Kavanaugh Blvd , Little Rock AR 72207-4607. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Smiths Country Club Drug Store Inc can be contacted via phone (501) 663-4118, or through Ingels, Patricia Ann via phone (501) 663-4118.

Contact Information

Primary practice address
5114 Kavanaugh Blvd Little Rock AR 72207-4607
Phone: (501) 663-4118
Fax: (501) 663-4110
Website:
Map and Directions
Authorized official contact:
Name: Ingels, Patricia Ann
Phone: (501) 663-4118

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1508847179
LBN Legal business name Smiths Country Club Drug Store Inc
DBA Doing business as
Authorized official Ingels, Patricia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 2nd, 2011 - about 13 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 1508847179 NPPES
Illinois MEDICAID 0419211

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