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Contact Information

CORNERSTONE PHARMACY OF BELLA VISTA LLC
1 MERCY WAY STE 50
BELLA VISTA, AR72714-3000
 Phone: 479-876-6200
 Fax: 479-876-2232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CORNERSTONE PHARMACY OF BELLA VISTA LLC

NPI Number 1043546799
LBN Legal business name CORNERSTONE PHARMACY OF BELLA VISTA LLC
Authorized official JAMES GRAHAM - (CEO, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2009
Last updated 12/17/2015 - About 10 years ago
Identifiers
AR License # AR20616
AR Medicaid 183982407
Other 2122774 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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