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CORNERSTONE PHARMACY OF BELLA VISTA LLC NPI 1043546799


NPI Information

NPI: 1043546799
Provider Name: CORNERSTONE PHARMACY OF BELLA VISTA LLC

Doing Business As: CORNERSTONE PHARMACY OF BELLA VISTA, LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1 MERCY WAY STE 50
BELLA VISTA, AR
ZIP 72714
Phone: (479) 876-6200
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CORNERSTONE PHARMACY OF BELLA VISTA LLC is a pharmacy in Bella Vista, 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. CORNERSTONE PHARMACY OF BELLA VISTA LLC NPI is 1043546799. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Pharmacy Of Bella Vista, Llc.

The provider's business location address is:

1 MERCY WAY STE 50
BELLA VISTA, AR
ZIP 72714-000
Phone: (479) 876-6200
Fax: (479) 876-2232

The provider's authorized official is James Graham .
The authorized official title is Ceo, Owner and has the following contact phone number (479) 876-6200.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 12/17/2015.


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
13336C0004XPharmacyCompounding PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyAR20616ARKANSASYes

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
1183982407MEDICAIDARKANSAS
22122774OTHERPK

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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