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Contact Information

SCPG ARKANSAS LLC
717 SOUTH MAIN STREET
HOPE, AR71801
 Phone: 870-777-4643
 Fax: 870-777-1331
 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 SCPG ARKANSAS LLC

NPI # 1184794265
LBN Legal business name SCPG ARKANSAS LLC
Authorized official UMAR F - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 11/18/2025 - About 7 months ago
Identifiers
AR License # AR03446
AR Medicaid 100382407
Other 1992978 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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