Southside Specialty Pharmacy

LBN: Arkansas Liver And Gastroenterology, Pa
Southside Specialty Pharmacy is an health care organization with primary practice located at 3416 Old Greenwood Rd Ste A , Fort Smith AR 72903-5462. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Arkansas Liver And Gastroenterology, Pa can be contacted via phone (479) 242-2888, or through Herraka, Ihab via phone (479) 242-2888.

Contact Information

Primary practice address
3416 Old Greenwood Rd Ste A Fort Smith AR 72903-5462
Phone: (479) 242-2888
Fax: (479) 242-2889
Website:
Map and Directions
Authorized official contact:
Name: Herraka, Ihab Doctor of Medicine (MD)
Phone: (479) 242-2888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X AR20829 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X AR20829 Arkansas
Suppliers / Mail Order Pharmacy 3336M0002X AR20829 Arkansas

Profile Details

NPI number 1194186056
LBN Legal business name Arkansas Liver And Gastroenterology, Pa
DBA Doing business as Southside Specialty Pharmacy
Authorized official Herraka, Ihab Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2016
Last updated Mar 18th, 2016 - about 10 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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