# CORNERSTONE PHARMACY MAIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912639964
- **Authorized official:** KENNY HARRISON (OWNER)
- **Authorized official phone:** (501) 580-1895

## Contact information

- **Practice address:** 1701 MAIN ST, LITTLE ROCK, AR 72206-1471
- **Practice address phone:** (501) 246-5451
- **Practice address fax:** (501) 414-8476
- **Mailing address:** 1701 MAIN ST, LITTLE ROCK, AR 72206-1471
- **Mailing address phone:** (501) 246-5451
- **Mailing address fax:** (501) 414-8476

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 06/28/2022