Country Mart Pharmacy
LBN: Town And Country Grocers Of Frederickstown Mo Inc
Country Mart Pharmacy is an health care organization with primary practice located at 3106 Southwest Dr , Jonesboro AR 72404-8404. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Town And Country Grocers Of Frederickstown Mo Inc can be contacted via phone (870) 933-2016, or through Hufford, Bobbie via phone (573) 783-5703.
Contact Information
Primary practice address
3106 Southwest Dr
Jonesboro AR 72404-8404
Phone: (870) 933-2016
Fax: (870) 933-2031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20021 | Arkansas |
Profile Details
| NPI number | 1396811055 |
|---|---|
| LBN Legal business name | Town And Country Grocers Of Frederickstown Mo Inc |
| DBA Doing business as | Country Mart Pharmacy |
| Authorized official | Hufford, Bobbie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jan 15th, 2014 - about 10 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 | 1396811055 | NPPES |
| Arkansas | MEDICAID | 131300407 | |
| Arkansas | Other | 1988202 |
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