# HEALTH DEPOT PHARMACIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Depot \#1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013473263
- **Authorized official:** BREANN MASHBURN (BILLING DIRECTOR)
- **Authorized official phone:** (479) 646-7875

## Contact information

- **Practice address:** 7700 HIGHWAY 271 S, FORT SMITH, AR 72908-8028
- **Practice address phone:** (479) 646-7875
- **Practice address fax:** (479) 646-3090
- **Mailing address:** 7700 HIGHWAY 271 S, FORT SMITH, AR 72908-8028
- **Mailing address phone:** (479) 646-7875
- **Mailing address fax:** (479) 646-3090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 02/13/2019