# BAXTER COUNTY REGIONAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Employee Pharmacy at BRMC, Baxter Health Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164770293
- **Authorized official:** DEBRA HENRY (CFO)
- **Authorized official phone:** (870) 508-1003

## Contact information

- **Practice address:** 624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
- **Practice address phone:** (870) 508-7388
- **Practice address fax:** (870) 508-1354
- **Mailing address:** 624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
- **Mailing address phone:** (870) 508-7388
- **Mailing address fax:** (870) 508-1354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HP0031 | AR | Yes |

## Other

- **Enumeration date:** 08/21/2012
- **Last updated:** 11/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0424034 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |