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) 246-5035
(501) 246-5448
Mailing address
5328 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6704
(501) 246-5035
(501) 246-5448
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20689
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196600407
—
AR
01
—
2136806
PK
—
Enumeration date
10/25/2012
Last updated
02/21/2017
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