Organization
WILSON BEARDEN PHARMACY INC
Active
Other names
WILSON BEARDEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IVY MOORE PD (PHARMACIST AND OWNER)
(870) 234-1062
Entity
Organization
Contact information
Practice address
134 N WASHINGTON, MAGNOLIA, AR 71753-2856
(870) 234-1062
(870) 234-8366
Mailing address
PO BOX 597, MAGNOLIA, AR 71754-0597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR10895
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1994116
PK
—
05
—
210631407
—
AR
Enumeration date
08/10/2006
Last updated
04/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us