Organization
HEALTH-WISE PHARMACY, PLLC
Active
Organization
HEALTH-WISE PHARMACY, PLLC
Active
Other names
Health-Wise Pharmacy of Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PARKS (PRESIDENT OF PLLC)
(479) 674-2222
Entity
Organization
Contact information
Practice address
213 E HOWARD ST, MANSFIELD, AR 72944-3411
(479) 928-4499
(479) 928-0124
Mailing address
PO BOX 347, MANSFIELD, AR 72944-0347
(479) 928-4499
(479) 928-0124
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20831
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158400
PK
—
Enumeration date
03/03/2016
Last updated
03/03/2016
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