Maybranch Pharmacy

LBN: Maybranch Pharmacy
Maybranch Pharmacy is an health care organization with primary practice located at 2801 Old Greenwood Rd Ste. 11, Fort Smith AR 72903-4560. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Maybranch Pharmacy can be contacted via phone (479) 646-3434, or through Mutters, Gordon Ray via phone (479) 646-3434.

Contact Information

Primary practice address
2801 Old Greenwood Rd Ste. 11 Fort Smith AR 72903-4560
Phone: (479) 646-3434
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mutters, Gordon Ray
Phone: (479) 646-3434

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X AR20274 Arkansas

Profile Details

NPI number 1841286572
LBN Legal business name Maybranch Pharmacy
DBA Doing business as
Authorized official Mutters, Gordon Ray
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1841286572 NPPES
Other 0409993 NCPDP

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