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Contact Information

BRYANT HOLIFIELD & DAVIS PHARMACY
2200 MALCOLM AVENUE SUITE D
NEWPORT, AR72112
 Phone: 870-523-9472
 Fax: 870-523-9364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRYANT HOLIFIELD & DAVIS PHARMACY

NPI # 1043290299
LBN Legal business name BRYANT HOLIFIELD & DAVIS PHARMACY
Authorized official MARY DAVIS - (OFFICER/SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 01/21/2006
Last updated 05/09/2019 - About 7 years ago
Identifiers
AR License # AR 20190
AR License # AR-20190
AR Medicaid 138576407
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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