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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

NPI # 1407881360
LBN Legal business name AMYCO, INC
Authorized official KANDICE GIBBONS - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
AR Medicaid 148970407
AR Medicaid 152323716
OK Medicaid 100240420A
OK Medicaid 100801990A
AR Other 49917 BLUE CROSS & BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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