Organization
VILONIA DRUG INC
Active
Other names
VILONIA DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAMBUCHEN P.D. (PRESIDENT)
(501) 796-2116
Entity
Organization
Contact information
Practice address
1155 MAIN ST, VILONIA, AR 72173-9525
(501) 796-2116
(501) 796-2201
Mailing address
PO BOX 145, VILONIA, AR 72173-0145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR10249
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410249
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100647407
—
AR
Enumeration date
07/13/2005
Last updated
03/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us