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VILLAGE APOTHECARY INC. NPI 1972054468


NPI Information

NPI: 1972054468
Provider Name: VILLAGE APOTHECARY, INC.

Doing Business As: DBA COLLEGE HILL DRUG & MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
100 EAST ST
TEXARKANA, AR
ZIP 71854
Phone: (870) 772-6969
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VILLAGE APOTHECARY, INC. is a durable medical equipment medical supplies in Texarkana, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. VILLAGE APOTHECARY, INC. NPI is 1972054468. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba College Hill Drug & Medical.

The provider's business location address is:

100 EAST ST
TEXARKANA, AR
ZIP 71854
Phone: (870) 772-6969
Fax: (870) 773-8657

The provider's authorized official is Michael Butler .
The authorized official title is Owner and has the following contact phone number (501) 620-4053.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionAR00363ARKANSASNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesAR00363ARKANSASNo
3332B00000XDurable Medical Equipment & Medical SuppliesAR00363ARKANSASYes

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
10400363OTHERARKANSASNCPDP
21235114208OTHERARKANSASPHARMACY NPI
3100230407MEDICAIDARKANSAS

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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