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BUNDY FAMILY PHARMACY LLC NPI 1497818967


NPI Information

NPI: 1497818967
Provider Name: BUNDY FAMILY PHARMACY LLC

Doing Business As: SULLIVAN PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
731 N MAIN ST., SUITE B
HARRISON, AR
ZIP 72601
Phone: (870) 741-2119
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BUNDY FAMILY PHARMACY LLC is a pharmacy in Harrison, 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. BUNDY FAMILY PHARMACY LLC NPI is 1497818967. The provider is registered as an organization entity type.
The provider Is Doing Business As Sullivan Pharmacy.

The provider's business location address is:

731 N MAIN ST., SUITE B
HARRISON, AR
ZIP 72601
Phone: (870) 741-2119
Fax: (870) 741-5572

The provider's authorized official is Addie Bundy .
The authorized official title is Owner and has the following contact phone number (870) 741-2119.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/12/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyYes

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
1143606407MEDICAIDARKANSAS

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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