Organization
PSI ARKANSAS ACQUISITION, LLC
Active
Other names
Pharmacy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JAMES (REGULATORY LICENSING MANGAGER)
(513) 719-2600
Entity
Organization
Contact information
Practice address
2125 COLLEGE AVE, SUITE 2, CONWAY, AR 72034-6210
(501) 764-1414
Mailing address
201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421278
NCPDP
—
05
—
165041407
—
AR
Enumeration date
02/09/2007
Last updated
02/15/2016
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