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Contact Information

CAEVERETT, INC
830 E MAIN STREET
MELBOURNE, AR72556
 Phone: 870-368-7171
 Fax: 870-368-5295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CAEVERETT, INC

NPI Number 1326015371
LBN Legal business name CAEVERETT, INC
Authorized official ABBY EVERETT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2006
Last updated 01/08/2020 - About 6 years ago
Identifiers
AR License # AR11366
AR Medicaid 158762407
Other 1994142 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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