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Contact Information

HYDE PHARMACY INC
1001 W KINGSHIGHWAY
PARAGOULD, AR72450
 Phone: 870-239-4036
 Fax: 870-239-9478
 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
Indicates primary specialty

NPI Profile & details for HYDE PHARMACY INC

NPI Number 1487675310
LBN Legal business name HYDE PHARMACY INC
Authorized official KENNETH KUENZEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2006
Last updated 03/15/2024 - About 2 years ago
Identifiers
AR License # AR16734
AR Medicaid 117466407
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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