<Unavail>

LBN: Oak Grove Pharmacy Jfk Inc
<Unavail> is an health care organization with primary practice located at 5308 John F Kennedy Blvd Ste 3 , North Little Rock AR 72116-6779. 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. Oak Grove Pharmacy Jfk Inc can be contacted via phone (501) 907-2095, or through Perkins, Terry Wayne via phone (501) 940-7517.

Contact Information

Primary practice address
5308 John F Kennedy Blvd Ste 3 North Little Rock AR 72116-6779
Phone: (501) 907-2095
Fax: (501) 907-2097
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Terry Wayne PHARMD
Phone: (501) 940-7517

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20695 Arkansas

Profile Details

NPI number 1053669325
LBN Legal business name Oak Grove Pharmacy Jfk Inc
DBA Doing business as <Unavail>
Authorized official Perkins, Terry Wayne PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2012
Last updated Jan 17th, 2022 - about 4 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 1053669325 NPPES
Arkansas MEDICAID 196317407
Arkansas Other 2136511

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