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ARKANSAS LIVER AND GASTROENTEROLOGY NPI 1205296043


NPI Information

NPI: 1205296043
Provider Name: ARKANSAS LIVER AND GASTROENTEROLOGY

Doing Business As: SOUTHSIDE SPECIALTY PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3416 OLD GREENWOOD RD
SUITE A
FORT SMITH, AR
ZIP 72903
Phone: (479) 242-2894
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ARKANSAS LIVER AND GASTROENTEROLOGY is a pharmacy in Fort Smith, 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. ARKANSAS LIVER AND GASTROENTEROLOGY NPI is 1205296043. 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
SUITE A
FORT SMITH, AR
ZIP 72903-462
Phone: (479) 242-2894

The provider's authorized official is Ihab Herraka .
The authorized official title is Owner and has the following contact phone number (472) 242-2894.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyAR20829ARKANSASYes

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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