Express Rx Of Prescott

LBN: Scpg Arkansas Llc
Express Rx Of Prescott is an health care organization with primary practice located at 1430 West 1St Street , Prescott AR 71857. 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. Scpg Arkansas Llc can be contacted via phone (870) 887-6664, or through Perkins, Galen via phone (501) 259-4399.

Contact Information

Primary practice address
1430 West 1St Street Prescott AR 71857
Phone: (870) 887-6664
Fax: (870) 887-2968
Website:
Map and Directions
Authorized official contact:
Name: Perkins, Galen
Phone: (501) 259-4399

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR09412 Arkansas

Profile Details

NPI number 1992875074
LBN Legal business name Scpg Arkansas Llc
DBA Doing business as Express Rx Of Prescott
Authorized official Perkins, Galen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jan 19th, 2021 - about 5 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 1992875074 NPPES
Other 1994027 PK
MEDICAID 100616407 PK

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