Cornerstone Pharmacy Gentry

LBN: Ppg Store 2 Llc
Cornerstone Pharmacy Gentry is an health care organization with primary practice located at 560 Gentry Blvd , Gentry AR 72734-8576. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ppg Store 2 Llc can be contacted via phone (479) 525-6200, or through Holderfield, Zach via phone (870) 814-0605.

Contact Information

Primary practice address
560 Gentry Blvd Gentry AR 72734-8576
Phone: (479) 525-6200
Fax: (479) 525-6168
Website:
Map and Directions
Authorized official contact:
Name: Holderfield, Zach
Phone: (870) 814-0605

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20833 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1447619572
LBN Legal business name Ppg Store 2 Llc
DBA Doing business as Cornerstone Pharmacy Gentry
Authorized official Holderfield, Zach
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2016
Last updated Mar 31st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447619572 NPPES
Other 2158041 PK

Popular Providers