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Organization
ARKANSAS METHODIST HOSP PHCY
Active
Organization
ARKANSAS METHODIST HOSP PHCY
Active
Other names
ARKANSAS METHODIST HOSP PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
STAN CARMACK PHARMD (DIRECTOR OF PHARMACY)
(870) 239-7861
Entity
Organization
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7861
(870) 239-7431
Mailing address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7861
(870) 239-7431
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP00079
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408838
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/22/2011
Last updated
09/22/2011
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