<Unavail>

LBN: Coleman Butler Ft Smith Llc
<Unavail> is an health care organization with primary practice located at 3610 Grand Ave , Fort Smith AR 72904-6842. 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. Coleman Butler Ft Smith Llc can be contacted via phone (479) 783-5171, or through Butler, Michael David via phone (479) 783-5171.

Contact Information

Primary practice address
3610 Grand Ave Fort Smith AR 72904-6842
Phone: (479) 783-5171
Fax: (479) 783-0433
Website:
Map and Directions
Authorized official contact:
Name: Butler, Michael David PHARMD
Phone: (479) 783-5171

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR10908 Arkansas

Profile Details

NPI number 1407844855
LBN Legal business name Coleman Butler Ft Smith Llc
DBA Doing business as <Unavail>
Authorized official Butler, Michael David PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 14th, 2019 - about 7 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 1407844855 NPPES
Arkansas MEDICAID 100228407
Arkansas MEDICAID 100239790A
Arkansas Other 1994117

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