Organization
ACCESS PHARMACY
Active
Other names
pediatric nutrition providers of arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD R GRAY PHARMD (OWNER)
(501) 315-2025
Entity
Organization
Contact information
Practice address
920 EDISON AVE, SUITE 9, BENTON, AR 72015-4502
(501) 315-2025
(501) 315-1034
Mailing address
920 EDISON AVE, SUITE 9, BENTON, AR 72015-4502
(501) 315-2025
(501) 315-1034
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422357
NCPDP
AR
Enumeration date
10/18/2006
Last updated
08/22/2020
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