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Contact Information

CAVE CITY PHARMACY, PLLC
301 S MAIN ST
SUITE C
CAVE CITY, AR72521-9476
 Phone: 870-283-5589
 Fax: 870-283-5636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CAVE CITY PHARMACY, PLLC

NPI Number 1043340789
LBN Legal business name CAVE CITY PHARMACY, PLLC
Authorized official JENNIFER DAVIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 08/16/2023 - About 3 years ago
Identifiers
AR License # AR17041
AR Medicaid 204598407
Other 2147036 PK
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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