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CORNERSTONE PHARMACY MAIN LLC NPI 1790139111


NPI Information

NPI: 1790139111
Provider Name: CORNERSTONE PHARMACY MAIN LLC

Doing Business As: CORNERSTONE PHARMACY MAIN, LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2249271

Address:
1701 MAIN ST
LITTLE ROCK, AR
ZIP 72206
Phone: (501) 246-5451
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CORNERSTONE PHARMACY MAIN 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. CORNERSTONE PHARMACY MAIN LLC NPI is 1790139111. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Pharmacy Main, Llc.

The provider's business location address is:

1701 MAIN ST
LITTLE ROCK, AR
ZIP 72206-471
Phone: (501) 246-5451
Fax: (501) 414-8476

The provider's authorized official is T F Kenneth Harrison .
The authorized official title is Owner/president/ao and has the following contact phone number (501) 223-8450.

The CLIA number assigned to this NPI record is 04D2249271 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2016 and was last updated on 2/20/2017.


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
23336C0003XPharmacyCommunity/Retail PharmacyAR20837ARKANSASYes

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
12159636OTHERPK

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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