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 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.
Smiths Country Club Drug Store Inc can be contacted via phone (501) 663-4118, or through Ingels, Patricia 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR19211 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1841339645 |
|---|---|
| LBN Legal business name | Smiths Country Club Drug Store Inc |
| DBA Doing business as | Smiths Country Club Drug Store Inc |
| Authorized official | Ingels, Patricia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jun 13th, 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 | 1841339645 | NPPES |
| Arkansas | MEDICAID | 160237407 | |
| Arkansas | Other | 1988096 |
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