Organization
LYON DRUG COMPANY MAUMELLE INC
Active
Organization
LYON DRUG COMPANY MAUMELLE INC
Active
Other names
Bradley's Healthmart
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT BRADLEY RPH (PRESIDENT/OWNER/PIC)
(501) 553-3604
Entity
Organization
Contact information
Practice address
1900 CLUB MANOR DR STE 101, MAUMELLE, AR 72113-7443
(501) 803-9400
(501) 803-9441
Mailing address
1900 CLUB MANOR DR STE 101, MAUMELLE, AR 72113-7443
(501) 803-9400
(501) 803-9441
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20638
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186574407
—
AR
01
—
2127857
PK
—
Enumeration date
11/11/2010
Last updated
04/05/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up