ARKANSAS LIVER AND GASTROENTEROLOGY PA NPI 1194186056

NPI Information

ARKANSAS LIVER AND GASTROENTEROLOGY, PA is a clinic pharmacy pharmacy in Fort Smith, AR. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ARKANSAS LIVER AND GASTROENTEROLOGY, PA NPI is 1194186056. The provider is registered as an organization entity type.
The provider Is Doing Business As Southside Specialty Pharmacy.

The provider's business location address is:

3416 OLD GREENWOOD RD STE A
FORT SMITH, AR
ZIP 72903-462
Phone: (479) 242-2888
Fax: (479) 242-2889

The provider's authorized official is Ihab Herraka .
The authorized official title is President and has the following contact phone number (479) 242-2888.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 3/18/2016.

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:

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