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PPG STORE 3 LLC NPI 1669835484


NPI Information

NPI: 1669835484
Provider Name: PPG STORE 3, LLC

Doing Business As: CORNERSTONE PHARMACY MARKHAM

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11414 W MARKHAM STREET
LITTLE ROCK, AR
ZIP 72703
Phone: (501) 904-4299
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PPG STORE 3, LLC is a community/retail pharmacy pharmacy in Little Rock, 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. PPG STORE 3, LLC NPI is 1669835484. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Pharmacy Markham.

The provider's business location address is:

11414 W MARKHAM STREET
LITTLE ROCK, AR
ZIP 72703
Phone: (501) 904-4299
Fax: (501) 904-4298

The provider's authorized official is Zach Holderfield .
The authorized official title is Owner, Ao and has the following contact phone number (870) 814-0605.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 8/24/2017.


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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20840ARKANSASYes

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
12159147OTHERPK

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: 11/14/2023

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