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SMACKOVER PHARMACY LLC NPI 1083625610


NPI Information

NPI: 1083625610
Provider Name: SMACKOVER PHARMACY LLC

Doing Business As: SMACKOVER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1402 PERSHING HWY
SMACKOVER, AR
ZIP 71762
Phone: (870) 725-2220
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SMACKOVER PHARMACY LLC is a community/retail pharmacy pharmacy in Smackover, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SMACKOVER PHARMACY LLC NPI is 1083625610. The provider is registered as an organization entity type.
The provider Is Doing Business As Smackover Pharmacy.

The provider's business location address is:

1402 PERSHING HWY
SMACKOVER, AR
ZIP 71762-300
Phone: (870) 725-2220
Fax: (870) 725-2040

The provider's authorized official is Jennifer Davis .
The authorized official title is Manager and has the following contact phone number (870) 814-3423.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyAR20534ARKANSASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11989768OTHERPK
2160553407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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