PARK WEST PHARMACY NPI 1053308940

NPI Information

PARK WEST PHARMACY is a pharmacy in Little Rock, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PARK WEST PHARMACY NPI is 1053308940. The provider is registered as an organization entity type.

The provider's business location address is:

904 AUTUMN RD
SUITE 275
LITTLE ROCK, AR
ZIP 72211-702
Phone: (501) 224-3499
Fax: (501) 224-1140

The provider's authorized official is Bill Bloodworth .
The authorized official title is Pharmacy Owner and has the following contact phone number (501) 224-3499.

The CLIA number assigned to this NPI record is 04D2247630 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 9/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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