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SOUTHERN HEALTH AND WELLNESS INC NPI 1992221287


NPI Information

NPI: 1992221287
Provider Name: SOUTHERN HEALTH AND WELLNESS, INC

Doing Business As: SOUTHERN PHARMACY OF ARKANSAS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2154527

Address:
203 NEWSOME DR STE A
MARKED TREE, AR
ZIP 72365
Phone: (870) 358-2135
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SOUTHERN HEALTH AND WELLNESS, INC is a community/retail pharmacy pharmacy in Marked Tree, 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. SOUTHERN HEALTH AND WELLNESS, INC NPI is 1992221287. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Pharmacy Of Arkansas.

The provider's business location address is:

203 NEWSOME DR STE A
MARKED TREE, AR
ZIP 72365-018
Phone: (870) 358-2135
Fax: (870) 358-4055

The provider's authorized official is Kyle Andrew Lomax .
The authorized official title is President and has the following contact phone number (870) 275-9496.

The CLIA number assigned to this NPI record is 04D2154527 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2017 and was last updated on 10/5/2020.


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 PharmacyAR04575ARKANSASYes

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
1AR04575OTHERARKANSASARKANSAS STATE BOARD OF PHARMACY
21992221287OTHERNCPDP

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.