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Contact Information

STATE OF ARKANSAS
305 S PALM ST
LITTLE ROCK, AR72205-5432
 Phone: 501-686-9047
 Fax: 507-686-9669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STATE OF ARKANSAS

NPI # 1891731410
LBN Legal business name STATE OF ARKANSAS
Authorized official STEVEN HENSON - (HOSPITAL ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2006
Last updated 06/17/2016 - About 10 years ago
Identifiers
AR License # HP00020
AR Medicaid 114301125
Other 1989601 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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