# ARKANSAS HOME MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Home Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306946199
- **Authorized official:** JEREMY RIDDLE (PRESIDENT)
- **Authorized official phone:** (501) 730-5445

## Contact information

- **Practice address:** 129 BONE ST, CLINTON, AR 72031-6609
- **Practice address phone:** (501) 227-4390
- **Practice address fax:** (870) 448-3697
- **Mailing address:** PO BOX 1060, CLINTON, AR 72031-1060
- **Mailing address phone:** (501) 227-4390
- **Mailing address fax:** (870) 448-3697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | AR20639 | AR | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 06/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0423563 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |