National Provider Identifier Database

FOUNTAIN LAKE FAMILY PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

FOUNTAIN LAKE FAMILY PHARMACY LLC
4517 PARK AVE
SUITE B
HOT SPRINGS, AR71901
Phone: 501-547-3400
Fax: 844-805-7790
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for FOUNTAIN LAKE FAMILY PHARMACY LLC

NPI Number 1164081071
Legal business name
LBN
FOUNTAIN LAKE FAMILY PHARMACY LLC
Authorized official MICHAEL BUTLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/13/2019
Last updated 07/21/2020 - 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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