Wilson Bearden Pharmacy
LBN: Wilson Bearden Pharmacy Inc
Wilson Bearden Pharmacy is an health care organization with primary practice located at 134 N Washington , Magnolia AR 71753-2856. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wilson Bearden Pharmacy Inc can be contacted via phone (870) 234-1062, or through Moore, Ivy via phone (870) 234-1062.
Contact Information
Primary practice address
134 N Washington
Magnolia AR 71753-2856
Phone: (870) 234-1062
Fax: (870) 234-8366
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | AR10895 | Arkansas |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1174534705 |
---|---|
LBN Legal business name | Wilson Bearden Pharmacy Inc |
DBA Doing business as | Wilson Bearden Pharmacy |
Authorized official | Moore, Ivy PD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 10th, 2006 |
Last updated | Apr 12th, 2016 - 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 | 1174534705 | NPPES |
Other | 1994116 | PK | |
MEDICAID | 210631407 | PK |
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