Community Drug Store Of Lake City
LBN: White River Rural Health Center, Inc.
Community Drug Store Of Lake City is an health care organization with primary practice located at 1009 Highway 18 Ste B, Lake City AR 72437-9622. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
White River Rural Health Center, Inc. can be contacted via phone (870) 237-1246, or through Collier, Steve via phone (870) 347-3304.
Contact Information
Primary practice address
1009 Highway 18 Ste B
Lake City AR 72437-9622
Phone: (870) 237-1246
Fax: (870) 237-1248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20585 | Arkansas |
Profile Details
| NPI number | 1508021619 |
|---|---|
| LBN Legal business name | White River Rural Health Center, Inc. |
| DBA Doing business as | Community Drug Store Of Lake City |
| Authorized official | Collier, Steve Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Aug 7th, 2008 - about 16 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 | 1508021619 | NPPES |
| Other | 0422903 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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