Harris Drug Store

LBN: Harris Drug Store Corporation
Harris Drug Store is an health care organization with primary practice located at 205 Dequeen Ave , De Queen AR 71832. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Harris Drug Store Corporation can be contacted via phone (870) 584-3555, or through Autry, Larry Dean via phone (870) 584-3555.

Contact Information

Primary practice address
205 Dequeen Ave De Queen AR 71832
Phone: (870) 584-3555
Fax: (870) 642-7259
Website:
Map and Directions
Authorized official contact:
Name: Autry, Larry Dean
Phone: (870) 584-3555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR12849 Arkansas

Profile Details

NPI number 1427130129
LBN Legal business name Harris Drug Store Corporation
DBA Doing business as Harris Drug Store
Authorized official Autry, Larry Dean
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Feb 18th, 2011 - about 15 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 1427130129 NPPES
Arkansas MEDICAID 118398407

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