<Unavail>

LBN: Kavanaughrx Llc
<Unavail> is an health care organization with primary practice located at 5200 Kavanaugh Blvd , Little Rock AR 72207-4609. 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. Kavanaughrx Llc can be contacted via phone (501) 664-3844, or through Pace, Anne via phone (501) 664-3855.

Contact Information

Primary practice address
5200 Kavanaugh Blvd Little Rock AR 72207-4609
Phone: (501) 664-3844
Fax: (501) 664-3744
Website:
Map and Directions
Authorized official contact:
Name: Pace, Anne PHARMD
Phone: (501) 664-3855

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR04183 Arkansas

Profile Details

NPI number 1235570334
LBN Legal business name Kavanaughrx Llc
DBA Doing business as <Unavail>
Authorized official Pace, Anne PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2013
Last updated May 12th, 2023 - about 3 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 1235570334 NPPES
Arkansas MEDICAID 100024407
Arkansas Other 2141594

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