Organization
CORNERSTONE PHARMACY JACKSONVILLE LLC
Active
Other names
Cornerstone Pharmacy Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
T F KENNETH HARRISON (OWNER/PRESIDENT/AO)
(501) 580-1895
Entity
Organization
Contact information
Practice address
315 S JAMES ST, JACKSONVILLE, AR 72076-4315
(501) 983-4249
(501) 983-4643
Mailing address
315 S JAMES ST, JACKSONVILLE, AR 72076-4315
(501) 983-4249
(501) 983-4643
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20848
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164046
PK
—
Enumeration date
09/07/2016
Last updated
02/08/2023
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