Organization
NATIONAL IV, INC.
Active
Other names
American HomePatient
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D. GOUY (SR. VICE PRESDIENT)
(615) 221-8191
Entity
Organization
Contact information
Practice address
5700 S ZERO ST, STE. 2, FORT SMITH, AR 72903-6505
(479) 649-6464
(479) 649-6565
Mailing address
PO BOX 676499, DALLAS, TX 75267-6499
(501) 537-2323
(501) 671-6801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0420116
AR
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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