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Contact Information

PHARMACY OF SHANNON HILLS LLC
13907 HIGH RD
MABELVALE, AR72103
 Phone: 501-451-7715
 Fax: 501-451-7761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHARMACY OF SHANNON HILLS LLC

NPI Number 1407508765
LBN Legal business name PHARMACY OF SHANNON HILLS LLC
Authorized official CALLIE BENCH - (OWNER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2022
Last updated 05/06/2022 - About 4 years ago
Identifiers n/a
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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