Organization
JEWELL CAPITAL PLLC
Active
Other names
North Central IV & Respiratory Specialsits
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MCQUAY (OWNER/CEO)
(870) 932-0150
Entity
Organization
Contact information
Practice address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0870
Mailing address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
AR20370
AR
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147200
PK
—
Enumeration date
02/27/2014
Last updated
07/19/2018
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