Organization
HABIBIS DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVIN SIMMONS PHARM.D. (PRESIDENT)
(501) 663-1553
Entity
Organization
Contact information
Practice address
4317 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117-4124
(501) 663-1553
(501) 661-0738
Mailing address
4317 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117-4124
(501) 663-1553
(501) 661-0738
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
24335360001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146186716
—
AR
01
—
49819
BC BS
AR
Enumeration date
08/11/2006
Last updated
05/19/2022
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