# HAWKINS RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAKESIDE PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568287969
- **Authorized official:** LAYNE J HAWKINS (OWNER)
- **Authorized official phone:** (870) 445-7188

## Contact information

- **Practice address:** 902 CENTRAL BLVD, BULL SHOALS, AR 72619-3223
- **Practice address phone:** (870) 445-7188
- **Practice address fax:** (870) 445-4850
- **Mailing address:** PO BOX 190, BULL SHOALS, AR 72619-0190
- **Mailing address phone:** (870) 445-7188
- **Mailing address fax:** (870) 445-4850

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 12/03/2024