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Organization

ARKANSAS LIVER AND GASTROENTEROLOGY

Active
Parent organization
ARKANSAS LIVER AND GASTROENTEROLOGY
Other names
Southside Specialty pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARKANSAS LIVER AND GASTROENTEROLOGY
Authorized official
DR. IHAB HERRAKA (OWNER)
(472) 242-2894
Entity
Organization

Contact information

Practice address
3416 OLD GREENWOOD RD, SUITE A, FORT SMITH, AR 72903-5462
(479) 242-2894
Mailing address
3416 OLD GREENWOOD RD, SUITE A, FORT SMITH, AR 72903-5462
(479) 242-2894

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20829
AR

Other

Enumeration date
03/04/2016
Last updated
03/04/2016
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