Pediatric Nutrition Providers Of Arkansas

LBN: Access Pharmacy
Pediatric Nutrition Providers Of Arkansas is an health care organization with primary practice located at 920 Edison Ave Suite 9, Benton AR 72015-4502. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Access Pharmacy can be contacted via phone (501) 315-2025, or through Gray, Leonard R via phone (501) 315-2025.

Contact Information

Primary practice address
920 Edison Ave Suite 9 Benton AR 72015-4502
Phone: (501) 315-2025
Fax: (501) 315-1034
Website:
Map and Directions
Authorized official contact:
Name: Gray, Leonard R PHARMD
Phone: (501) 315-2025

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR20528 Arkansas

Profile Details

NPI number 1144301136
LBN Legal business name Access Pharmacy
DBA Doing business as Pediatric Nutrition Providers Of Arkansas
Authorized official Gray, Leonard R PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144301136 NPPES
Arkansas Other 0422357 NCPDP

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