Organization
HAH LLC
Active
Organization
HAH LLC
Active
Other names
MITCHELL'S MEDI MART
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI HAYS (CHIEF PHRM)
(870) 777-4616
Entity
Organization
Contact information
Practice address
1523 S MAIN ST, HOPE, AR 71801-7202
(870) 777-5555
(870) 777-3661
Mailing address
1523 S MAIN ST, HOPE, AR 71801-7202
(870) 777-5555
(870) 777-3661
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20325
AR
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347407
—
AR
05
—
148783407
—
AR
01
—
1992977
PK
—
Enumeration date
01/04/2007
Last updated
01/09/2015
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