Country Mart
LBN: Town & Country Grocers Of Fredericktown Mo Inc
Country Mart is an health care organization with primary practice located at 611 W Hwy 62 And 65 North , Harrison AR 72601. 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 & Country Grocers Of Fredericktown Mo Inc can be contacted via phone (870) 741-2118, or through Hufford, Bobbie via phone (573) 783-5703.
Contact Information
Primary practice address
611 W Hwy 62 And 65 North
Harrison AR 72601
Phone: (870) 741-2118
Fax: (870) 741-2268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR19475 | Arkansas |
Profile Details
| NPI number | 1588730246 |
|---|---|
| LBN Legal business name | Town & Country Grocers Of Fredericktown Mo Inc |
| DBA Doing business as | Country Mart |
| Authorized official | Hufford, Bobbie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Apr 7th, 2017 - 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 | 1588730246 | NPPES |
| Arkansas | MEDICAID | 130093407 | |
| Arkansas | Other | 1988120 |
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