Organization
CORNERSTONE PHARMACY JFK LLC
Active
Parent organization
CORNERSTONE PHARMACY JFK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE PHARMACY JFK LLC
Authorized official
DR. KAMMY M KRISELL PHARMD (PIC)
(501) 246-5035
Entity
Organization
Contact information
Practice address
5328 JFK BLVD, N LITTLE ROCK, AR 72116-6704
(501) 246-5035
(501) 246-5448
Mailing address
5328 JFK BLVD, N LITTLE ROCK, AR 72116-6704
(501) 246-5035
(501) 246-5448
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196600407
—
AR
Enumeration date
03/01/2023
Last updated
03/01/2023
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