Teasley Drug

LBN: Teasley Drug Inc
Teasley Drug is an health care organization with primary practice located at 205 Atlanta St Se , Gravette AR 72736-9364. 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. Teasley Drug Inc can be contacted via phone (479) 787-5966, or through Watford, Lindsey via phone (479) 787-5966.

Contact Information

Primary practice address
205 Atlanta St Se Gravette AR 72736-9364
Phone: (479) 787-5966
Fax: (479) 787-5393
Website:
Map and Directions
Authorized official contact:
Name: Watford, Lindsey PHARMD
Phone: (479) 787-5966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR13411 Arkansas

Profile Details

NPI number 1275645269
LBN Legal business name Teasley Drug Inc
DBA Doing business as Teasley Drug
Authorized official Watford, Lindsey PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 28th, 2017 - about 9 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 1275645269 NPPES
Arkansas MEDICAID 176183407
Arkansas Other 1994355
Arkansas MEDICAID 602301509
Arkansas MEDICAID 100244910A

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