Mitchells Park Street Pharmacy

LBN: Mitchells Park Street Pharmacy Inc
Mitchells Park Street Pharmacy is an health care organization with primary practice located at 526 Park St , Calico Rock AR 72519-9070. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mitchells Park Street Pharmacy Inc can be contacted via phone (870) 297-8107, or through Mitchell, Sarah via phone (870) 297-8107.

Contact Information

Primary practice address
526 Park St Calico Rock AR 72519-9070
Phone: (870) 297-8107
Fax: (870) 297-8799
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Sarah PHARM D
Phone: (870) 297-8107

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20214 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1487640579
LBN Legal business name Mitchells Park Street Pharmacy Inc
DBA Doing business as Mitchells Park Street Pharmacy
Authorized official Mitchell, Sarah PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 5th, 2016 - about 10 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 1487640579 NPPES
Arkansas MEDICAID 100056407
Arkansas Other 1994893

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