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Organization
CORNERSTONE PHARMACY JFK LLC
Active
Organization
CORNERSTONE PHARMACY JFK LLC
Active
Parent organization
CORNERSTONE PHARMACY JFK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE PHARMACY JFK LLC
Authorized official
DR. KAMMY M KRISELL PHARMD (PIC)
(501) 246-5035
Entity
Organization
Contact information
Practice address
5328 JFK BLVD, N LITTLE ROCK, AR 72116-6704
(501) 246-5035
(501) 246-5448
Mailing address
5328 JFK BLVD, N LITTLE ROCK, AR 72116-6704
(501) 246-5035
(501) 246-5448
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196600407
—
AR
Enumeration date
03/01/2023
Last updated
03/01/2023
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