# CORNERSTONE PHARMACY OF BELLA VISTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORNERSTONE PHARMACY OF BELLA VISTA LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497431738
- **Legal business name:** CORNERSTONE PHARMACY OF BELLA VISTA LLC
- **Authorized official:** DR. JAMES B GRAHAM III PHARM.D., PH.D. (PRESIDENT)
- **Authorized official phone:** (479) 876-6200

## Contact information

- **Practice address:** 1 MERCY WAY STE 50, BELLA VISTA, AR 72714-3000
- **Practice address phone:** (479) 876-6200
- **Practice address fax:** (479) 876-2232
- **Mailing address:** 1 MERCY WAY STE 50, BELLA VISTA, AR 72714-3000
- **Mailing address phone:** (479) 876-6200
- **Mailing address fax:** (479) 876-2232

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2023
- **Last updated:** 06/22/2023
