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VILLAGE APOTHECARY INC NPI 1235114208


NPI Information

NPI: 1235114208
Provider Name: VILLAGE APOTHECARY, INC

Doing Business As: COLLEGE HILL DRUG

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 04D2190816

Address:
100 EAST ST
TEXARKANA, AR
ZIP 71854
Phone: (870) 772-6969
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VILLAGE APOTHECARY, INC is a pharmacy in Texarkana, 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. VILLAGE APOTHECARY, INC NPI is 1235114208. The provider is registered as an organization entity type.
The provider Is Doing Business As College Hill Drug.

The provider's business location address is:

100 EAST ST
TEXARKANA, AR
ZIP 71854-304
Phone: (870) 772-6969
Fax: (870) 774-0912

The provider's authorized official is Michael Butler .
The authorized official title is President and has the following contact phone number (501) 922-0777.

The CLIA number assigned to this NPI record is 04D2190816 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2005 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
1333600000XPharmacyAR00363ARKANSASYes
23336C0003XPharmacyCommunity/Retail PharmacyNo

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
12155396OTHERPK

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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