Access Pharmacy

LBN: Pediatric Nutrition Prov Of Ar
Access Pharmacy is an health care organization with primary practice located at 920 Edison Ave Ste 9, Benton AR 72015-4502. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pediatric Nutrition Prov Of Ar can be contacted via phone (501) 315-7337, or through Gray, Leonard via phone (901) 315-7337.

Contact Information

Primary practice address
920 Edison Ave Ste 9 Benton AR 72015-4502
Phone: (501) 315-7337
Fax: (501) 778-7488
Website:
Map and Directions
Authorized official contact:
Name: Gray, Leonard PHARMD
Phone: (901) 315-7337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X AR20528 Arkansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477598795
LBN Legal business name Pediatric Nutrition Prov Of Ar
DBA Doing business as Access Pharmacy
Authorized official Gray, Leonard PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477598795 NPPES
Other 0422357 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers