Organization
LITTLE ROCK COMMUNITY MENTAL HEALTH CENTER INC
Active
Other names
LITTLE ROCK COMMUNITY MENTAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY STRATTON (PHARMACIST IN CHARGE)
(501) 686-9053
Entity
Organization
Contact information
Practice address
1100 N UNIVERSITY AVE STE 240, LITTLE ROCK, AR 72207-6358
(501) 686-9052
(501) 686-9492
Mailing address
1100 N UNIVERSITY AVE, SUITE 240, LITTLE ROCK, AR 72207-6343
(501) 686-9052
(501) 686-9492
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR18461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125203407
—
AR
01
—
1995485
PK
—
Enumeration date
02/15/2007
Last updated
09/13/2016
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