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Contact Information

SOUTH ARKANSAS PHARMACY, INC
600 SOUTH TIMBERLANE #101
EL DORADO, AR71730
 Phone: 870-639-3929
 Fax: 870-639-3930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTH ARKANSAS PHARMACY, INC

NPI # 1730460338
LBN Legal business name SOUTH ARKANSAS PHARMACY, INC
Authorized official AMY CYPHERS - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2011
Last updated 12/31/2018 - About 7 years ago
Identifiers
AR License # AR20663
Other 0423777 NCPDP PROVIDER IDENTIFICATION NUMBER
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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