Sam Alexander Pharmacy

LBN: M & T Ventures Llc
Sam Alexander Pharmacy is an health care organization with primary practice located at 127 N Main St , Harrison AR 72601-4227. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. M & T Ventures Llc can be contacted via phone (870) 741-6511, or through Willmott, Tara via phone (870) 741-6511.

Contact Information

Primary practice address
127 N Main St Harrison AR 72601-4227
Phone: (870) 741-6511
Fax: (870) 365-0216
Website:
Map and Directions
Authorized official contact:
Name: Willmott, Tara
Phone: (870) 741-6511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR14590 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1518271139
LBN Legal business name M & T Ventures Llc
DBA Doing business as Sam Alexander Pharmacy
Authorized official Willmott, Tara
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2010
Last updated Feb 21st, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518271139 NPPES
Other 2126195 PK

Popular Providers