Green Earth Pharmacy

LBN: Green Earth Pharmacy Inc
Green Earth Pharmacy is an health care organization with primary practice located at 405 E 3Rd St , Little Rock AR 72201-1611. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Green Earth Pharmacy Inc can be contacted via phone (501) 246-3296, or through Bortell, Linda via phone (501) 613-3856.

Contact Information

Primary practice address
405 E 3Rd St Little Rock AR 72201-1611
Phone: (501) 246-3296
Fax: (501) 246-3339
Website:
Map and Directions
Authorized official contact:
Name: Bortell, Linda
Phone: (501) 613-3856

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20628 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1558689299
LBN Legal business name Green Earth Pharmacy Inc
DBA Doing business as Green Earth Pharmacy
Authorized official Bortell, Linda
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2010
Last updated Oct 21st, 2011 - about 14 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 1558689299 NPPES
Other 0423424 NCPDP PROVIDER IDENTIFICATION NUMBER

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