National Provider Identifier Database

PRIMARY CARE 360
Non-Pharmacy Dispensing Site

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)


Contact Information

PRIMARY CARE 360
103 FRANKIE LN
WHITE HALL, AR71602-2685
Phone: 870-393-5050
Fax:
Website:
Specialty Taxonomy Code
* Non-Pharmacy Dispensing Site 332900000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for PRIMARY CARE 360

NPI Number 1134734049
Legal business name
LBN
PRIMARY CARE 360
Authorized official KHALID RAYAZ - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 09/09/2020
Last updated 09/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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