Organization
KAVANAUGHRX LLC
Active
Other names
Kavanaugh Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY HARRISON PHARMD (OWNER)
(501) 580-1895
Entity
Organization
Contact information
Practice address
5200 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4609
(501) 664-3844
Mailing address
5200 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4609
(501) 664-3844
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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