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BURNS RX LLC NPI 1558390633


NPI Information

NPI: 1558390633
Provider Name: BURNS RX LLC

Doing Business As: PALACE DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2209681

Address:
270 MAIN ST
MAMMOTH SPRING, AR
ZIP 72554
Phone: (870) 625-3222
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BURNS RX LLC is a community/retail pharmacy pharmacy in Mammoth Spring, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BURNS RX LLC NPI is 1558390633. The provider is registered as an organization entity type.
The provider Is Doing Business As Palace Drug.

The provider's business location address is:

270 MAIN ST
MAMMOTH SPRING, AR
ZIP 72554-466
Phone: (870) 625-3222
Fax: (870) 625-3216

The provider's authorized official is Sarah Clark .
The authorized official title is Member/owner and has the following contact phone number (870) 625-3222.

The CLIA number assigned to this NPI record is 04D2209681 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 6/5/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20278ARKANSASYes

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
1600061501MEDICAIDMISSOURI
21989381OTHERPK
3160543407MEDICAIDARKANSAS

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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