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Contact Information

HERITAGE SENIOR CARE LLC
607 W MAIN ST STE B
JACKSONVILLE, AR72076-4431
 Phone: 501-475-0396
 Fax: 501-475-0398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HERITAGE SENIOR CARE LLC

NPI Number 1154704062
LBN Legal business name HERITAGE SENIOR CARE LLC
Authorized official MARK MCMURRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2015
Last updated 07/16/2015 - About 11 years ago
Identifiers
Other 2153063 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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