Organization
ARKANSAS CHILDRENS HOSPITAL
Active
Other names
ARKANSAS CHILDRENS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL PHILLIPS (SR. BILLING MANAGER)
(501) 364-2526
Entity
Organization
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1272
(501) 364-4225
Mailing address
PO BOX 959794, SAINT LOUIS, MO 63195-9794
(501) 364-2526
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR08143
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00097767
—
MS
05
—
011381209
—
MO
05
—
100514407
—
AR
05
—
100817680C
—
OK
05
—
1742104
—
LA
01
—
1993615
PK
—
05
—
580038
—
TX
Enumeration date
06/24/2006
Last updated
12/05/2022
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