<Unavail>

LBN: Nw Otter Creek Llc
<Unavail> is an health care organization with primary practice located at 10100 Stagecoach Rd , Little Rock AR 72210-5742. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Nw Otter Creek Llc can be contacted via phone (501) 455-2522, or through Farooq, Umar via phone (501) 392-8680.

Contact Information

Primary practice address
10100 Stagecoach Rd Little Rock AR 72210-5742
Phone: (501) 455-2522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farooq, Umar
Phone: (501) 392-8680

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285167502
LBN Legal business name Nw Otter Creek Llc
DBA Doing business as <Unavail>
Authorized official Farooq, Umar
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2017
Last updated Nov 18th, 2025 - about last year

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 1285167502 NPPES
Arkansas MEDICAID 221379407

Popular Providers