Organization
HERITAGE SENIOR CARE LLC
Active
Other names
Heritage Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MCMURRY (OWNER)
(501) 650-4709
Entity
Organization
Contact information
Practice address
607 W MAIN ST STE B, JACKSONVILLE, AR 72076-4431
(501) 475-0396
(501) 475-0398
Mailing address
607 W MAIN ST STE B, JACKSONVILLE, AR 72076-4431
(501) 475-0396
(501) 475-0398
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153063
PK
—
Enumeration date
07/09/2015
Last updated
07/16/2015
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