Organization
BAPTIST HEALTH
Active
Other names
Baptist Health Medical Towers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 109, SUITE 109, LITTLE ROCK, AR 72205-6323
(501) 202-2460
(501) 202-6363
Mailing address
9601 BAPTIST HEALTH DR STE 109, LITTLE ROCK, AR 72205-6323
(501) 202-2460
(501) 202-6363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR06911
AR
3336H0001X
Home Infusion Therapy Pharmacy
AR06911
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100547407
—
AR
05
—
156945716
—
AR
05
—
156962733
—
AR
01
—
1993601
PK
—
Enumeration date
02/28/2006
Last updated
10/26/2023
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