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Contact Information

AMYCO, INC
700 LEXINGTON AVE
FORT SMITH, AR72901-4738
 Phone: 479-782-2881
 Fax: 479-782-3974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for AMYCO INC · (Female)

NPI # 1407881360
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 148970407
  • AR Medicaid 152323716
  • OK Medicaid 100240420A
  • OK Medicaid 100801990A
  • AR Other 49917 BLUE CROSS & BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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