# CORNERSTONE PHARMACY JFK LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORNERSTONE PHARMACY JFK LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043919848
- **Legal business name:** CORNERSTONE PHARMACY JFK LLC
- **Authorized official:** DR. KAMMY M KRISELL PHARMD (PIC)
- **Authorized official phone:** (501) 246-5035

## Contact information

- **Practice address:** 5328 JFK BLVD, N LITTLE ROCK, AR 72116-6704
- **Practice address phone:** (501) 246-5035
- **Practice address fax:** (501) 246-5448
- **Mailing address:** 5328 JFK BLVD, N LITTLE ROCK, AR 72116-6704
- **Mailing address phone:** (501) 246-5035
- **Mailing address fax:** (501) 246-5448

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2023
- **Last updated:** 03/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 196600407 | — | AR |