Walden Drug

LBN: Hancock Pharmacy Inc
Walden Drug is an health care organization with primary practice located at 3104 W Kingshighway , Paragould AR 72450-2612. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hancock Pharmacy Inc can be contacted via phone (870) 236-6118, or through Hancock, Jeremy via phone (870) 236-6118.

Contact Information

Primary practice address
3104 W Kingshighway Paragould AR 72450-2612
Fax: (870) 236-5886
Website:
Authorized official contact:
Name: Hancock, Jeremy PHARMD

Health care specialties

Profile Details

NPI number 1073601571
LBN Legal business name Hancock Pharmacy Inc
DBA Doing business as Walden Drug
Authorized official Hancock, Jeremy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 22nd, 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 1073601571 NPPES
Missouri MEDICAID 603176306
Missouri Other 1994135
Missouri MEDICAID 155534407

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