# ARKANSAS METHODIST HOSP PHCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARKANSAS METHODIST HOSP PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821371261
- **Authorized official:** STAN CARMACK PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (870) 239-7861

## Contact information

- **Practice address:** 900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
- **Practice address phone:** (870) 239-7861
- **Practice address fax:** (870) 239-7431
- **Mailing address:** 900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
- **Mailing address phone:** (870) 239-7861
- **Mailing address fax:** (870) 239-7431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HP00079 | AR | Yes |

## Other

- **Enumeration date:** 09/22/2011
- **Last updated:** 09/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0408838 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |