Dusty'S Green Forest Pharmacy

LBN: Barrett Rx Inc
Dusty'S Green Forest Pharmacy is an health care organization with primary practice located at 309 E Main St , Green Forest AR 72638-2432. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Barrett Rx Inc can be contacted via phone (870) 438-5614, or through Barrett, Dusty via phone (479) 559-2183.

Contact Information

Primary practice address
309 E Main St Green Forest AR 72638-2432
Fax: (870) 438-6256
Website:
Authorized official contact:
Name: Barrett, Dusty PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20398 Arkansas

Profile Details

NPI number 1568569309
LBN Legal business name Barrett Rx Inc
DBA Doing business as Dusty'S Green Forest Pharmacy
Authorized official Barrett, Dusty PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 4th, 2009 - about 17 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 1568569309 NPPES
Other 0415352 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 141449407 NCPDP PROVIDER IDENTIFICATION NUMBER

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