Community Care Rx Llc

LBN: Community Care Rx Llc
Community Care Rx Llc is an health care organization with primary practice located at 1606 Martin Luther King Blvd , Malvern AR 72104-2006. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Community Care Rx Llc can be contacted via phone (501) 229-1446, or through Davis, Shelyn Y via phone (501) 844-1785.

Contact Information

Primary practice address
1606 Martin Luther King Blvd Malvern AR 72104-2006
Phone: (501) 229-1446
Fax: (501) 229-1397
Website:
Map and Directions
Authorized official contact:
Name: Davis, Shelyn Y PHARMD
Phone: (501) 844-1785

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1750859195
LBN Legal business name Community Care Rx Llc
DBA Doing business as
Authorized official Davis, Shelyn Y PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2018
Last updated Jan 11th, 2021 - about 5 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 1750859195 NPPES
Arkansas MEDICAID 1750859195

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