Southern Pharmacy Of Arkansas
LBN: Southern Health And Wellness, Inc
Southern Pharmacy Of Arkansas is an health care organization with primary practice located at 803 Highway 18 Ste B , Lake City AR 72437-9603. 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.
Southern Health And Wellness, Inc can be contacted via phone (870) 237-8010, or through Lomax, Kyle Andrew via phone (870) 275-9496.
Contact Information
Primary practice address
803 Highway 18 Ste B
Lake City AR 72437-9603
Phone: (870) 237-8010
Fax: (870) 237-8003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20637 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1396052346 |
|---|---|
| LBN Legal business name | Southern Health And Wellness, Inc |
| DBA Doing business as | Southern Pharmacy Of Arkansas |
| Authorized official | Lomax, Kyle Andrew PHARM. D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 10th, 2010 |
| Last updated | Oct 5th, 2020 - about 4 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 | 1396052346 | NPPES |
| Arkansas | Other | AR20637 | ARKANSAS PHARMACY PERMIT |
| Arkansas | Other | 0423525 | ARKANSAS PHARMACY PERMIT |
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