Perkins, Galen Wayne

Perkins, Galen Wayne is an individual health care provider with primary practice located at 7612 Cantrell Rd , Little Rock AR 72227-3320. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Perkins, Galen Wayne can be contacted via phone (501) 258-4399.

Contact Information

Primary practice address
7612 Cantrell Rd Little Rock AR 72227-3320
Phone: (501) 258-4399
Fax: (501) 227-0714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2000156307 Missouri
Pharmacy Service Providers / Pharmacist 183500000X 11746 Oklahoma
Pharmacy Service Providers / Pharmacist 183500000X 34526 Texas
Pharmacy Service Providers / Pharmacist 183500000X 1-14424 Kansas
Pharmacy Service Providers / Pharmacist 183500000X PD 10757 Arkansas

Profile Details

NPI number 1457402349
LBN Legal business name Perkins, Galen Wayne
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457402349 NPPES
Missouri MEDICAID 356180505

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