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Contact Information

COMMUNITY CARE RX LLC
1606 MARTIN LUTHER KING BLVD
MALVERN, AR72104
 Phone: 501-229-1466
 Fax:
 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 COMMUNITY CARE RX LLC

NPI Number 1750859195
LBN Legal business name COMMUNITY CARE RX LLC
Authorized official SHELYN DAVIS - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2018
Last updated 01/11/2021 - About 5 years ago
Identifiers
AR Medicaid 1750859195
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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