# HERITAGE SENIOR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154704062
- **Authorized official:** MARK MCMURRY (OWNER)
- **Authorized official phone:** (501) 650-4709

## Contact information

- **Practice address:** 607 W MAIN ST STE B, JACKSONVILLE, AR 72076-4431
- **Practice address phone:** (501) 475-0396
- **Practice address fax:** (501) 475-0398
- **Mailing address:** 607 W MAIN ST STE B, JACKSONVILLE, AR 72076-4431
- **Mailing address phone:** (501) 475-0396
- **Mailing address fax:** (501) 475-0398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 07/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2153063 | PK | — |