Organization
CORNERSTONE PHARMACY OF BELLA VISTA LLC
Active
Other names
Cornerstone Pharmacy of Bella Vista, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRAHAM PH.D., PHARM. D (CEO, OWNER)
(479) 876-6200
Entity
Organization
Contact information
Practice address
1 MERCY WAY STE 50, BELLA VISTA, AR 72714-3000
(479) 876-6200
(479) 876-2232
Mailing address
1 MERCY WAY, STE 50, BELLA VISTA, AR 72714-3000
(479) 876-6200
(479) 876-2232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20616
AR
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183982407
—
AR
01
—
2122774
PK
—
Enumeration date
10/29/2009
Last updated
12/17/2015
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