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Contact Information

CORNERSTONE SPECIALTY PHARMACY LLC
1450 E ZION RD STE 1
FAYETTEVILLE, AR72703-4988
 Phone: 479-444-7200
 Fax: 479-444-7205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CORNERSTONE SPECIALTY PHARMACY LLC

NPI Number 1629377742
LBN Legal business name CORNERSTONE SPECIALTY PHARMACY LLC
Authorized official ZACH HOLDERFIELD - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2011
Last updated 03/29/2016 - About 10 years ago
Identifiers
AR License # AR20645
AR Medicaid 190028407
AR Medicaid 201829716
Other 2129471 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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