Organization
CORNERSTONE PHARMACY JFK, LLC
Active
Other names
Cornerstone Pharmacy JFK, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY HARRISON (PARTNER/OWNER)
(501) 580-1895
Entity
Organization
Contact information
Practice address
5328 JOHN F KENNEDY BLVD, NORTH LITTLE ROCK, AR 72116-6704
(501) 223-2224
(866) 399-5514
Mailing address
15 CHAMBORD LN, LITTLE ROCK, AR 72223-5946
(501) 223-2224
(866) 399-5514
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20689
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0424135
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/07/2012
Last updated
11/07/2012
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