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Organization
PSI ARKANSAS ACQUISITION, LLC
Active
Organization
PSI ARKANSAS ACQUISITION, LLC
Active
Other names
Pharmacy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JAMES (REGULATORY LICENSING MANGAGER)
(513) 719-2600
Entity
Organization
Contact information
Practice address
2125 COLLEGE AVE, SUITE 2, CONWAY, AR 72034-6210
(501) 764-1414
Mailing address
201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421278
NCPDP
—
05
—
165041407
—
AR
Enumeration date
02/09/2007
Last updated
02/15/2016
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