<Unavail>

LBN: Ppg Store 6 Llc
<Unavail> is an health care organization with primary practice located at 2235 Dave Ward Dr Ste 108 , Conway AR 72034-7040. 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. Ppg Store 6 Llc can be contacted via phone (501) 450-0000, or through Holderfield, Zach via phone (870) 814-0605.

Contact Information

Primary practice address
2235 Dave Ward Dr Ste 108 Conway AR 72034-7040
Phone: (501) 450-0000
Fax: (501) 450-6433
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 AR20873 Arkansas

Profile Details

NPI number 1013422179
LBN Legal business name Ppg Store 6 Llc
DBA Doing business as <Unavail>
Authorized official Holderfield, Zach
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2017
Last updated Apr 18th, 2018 - about 8 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 1013422179 NPPES
Other 2174625 PK

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