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SAINT-MARK ENTERPRISES 1883 LLC NPI 1710124037


NPI Information

NPI: 1710124037
Provider Name: SAINT-MARK ENTERPRISES 1883 LLC

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1701 CLUB MANOR DR
SUITE D
MAUMELLE, AR
ZIP 72113
Phone: (501) 851-4949
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SAINT-MARK ENTERPRISES 1883 LLC is a community/retail pharmacy pharmacy in Maumelle, 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. SAINT-MARK ENTERPRISES 1883 LLC NPI is 1710124037. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

1701 CLUB MANOR DR
SUITE D
MAUMELLE, AR
ZIP 72113-400
Phone: (501) 851-4949

The provider's authorized official is Mark A Miller .
The authorized official title is Owner and has the following contact phone number (314) 518-2427.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 7/20/2009.


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 PharmacyYes

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
1175879407MEDICAIDARKANSAS
20423056OTHERNCPDP #
36181550001MEDICARE NSCARKANSAS
410651MEDICARE PINARKANSAS

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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