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MAYBRANCH PHARMACY NPI 1841286572


NPI Information

NPI: 1841286572
Provider Name: MAYBRANCH PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2801 OLD GREENWOOD RD
STE. 11
FORT SMITH, AR
ZIP 72903
Phone: (479) 646-3434
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MAYBRANCH PHARMACY 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. MAYBRANCH PHARMACY NPI is 1841286572. The provider is registered as an organization entity type.

The provider's business location address is:

2801 OLD GREENWOOD RD
STE. 11
FORT SMITH, AR
ZIP 72903-560
Phone: (479) 646-3434

The provider's authorized official is Gordon Ray Mutters .
The authorized official title is Pharmacist and has the following contact phone number (479) 646-3434.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 8/22/2020.


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
1333600000XPharmacyAR20274ARKANSASYes

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
10409993OTHERNCPDP

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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