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ECONO-MART PHARMACY INC NPI 1679568729


NPI Information

NPI: 1679568729
Provider Name: ECONO-MART PHARMACY INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2157115

Address:
1595 HARRISON ST
BATESVILLE, AR
ZIP 72501
Phone: (870) 793-4179
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ECONO-MART PHARMACY INC is a community/retail pharmacy pharmacy in Batesville, 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. ECONO-MART PHARMACY INC NPI is 1679568729. The provider is registered as an organization entity type.

The provider's business location address is:

1595 HARRISON ST
BATESVILLE, AR
ZIP 72501-222
Phone: (870) 793-4179
Fax: (870) 793-7303

The provider's authorized official is Paul Holifield .
The authorized official title is Owner and has the following contact phone number (870) 793-4179.

The CLIA number assigned to this NPI record is 04D2157115 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 12/26/2018.


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
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR14083ARKANSASYes

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
1100761467MEDICAIDARKANSAS
21994551OTHERPK

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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