Whitehall Pharmacy Llc

LBN: Whitehall Pharmacy Llc
Whitehall Pharmacy Llc is an health care organization with primary practice located at 500 S Lincoln Ave , Star City AR 71667-5208. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Whitehall Pharmacy Llc can be contacted via phone (870) 628-4004, or through Stice, Floyd Lelan via phone (501) 442-4657.

Contact Information

Primary practice address
500 S Lincoln Ave Star City AR 71667-5208
Fax: (870) 628-4004
Website:
Authorized official contact:
Name: Stice, Floyd Lelan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1982254082
LBN Legal business name Whitehall Pharmacy Llc
DBA Doing business as
Authorized official Stice, Floyd Lelan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2019
Last updated Jun 13th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982254082 NPPES
Arkansas MEDICAID 236079407

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