Organization
MID-SOUTH HEALTH SYSTEMS PHARMACY
Active
Parent organization
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Authorized official
CARLA PRATT (BUSINESS OFFICE MANAGER)
(870) 972-4016
Entity
Organization
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0419968
NABP
AR
05
—
148338407
—
AR
Enumeration date
02/12/2007
Last updated
03/18/2024
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