Organization
MEDICAL PARK PHARMACY LLC
Active
Other names
MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VADA MCCALLOUGH RPH (OWNER)
(479) 253-9751
Entity
Organization
Contact information
Practice address
121 E VAN BUREN STE C, EUREKA SPRINGS, AR 72632-3658
(479) 253-9751
(479) 253-7149
Mailing address
121 E. VANBUREN, SUITE C, EUREKA SPRINGS, AR 72632
(479) 253-9751
(479) 253-7149
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20264
AR
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142172407
—
AR
01
—
1992914
PK
—
05
—
605854900
—
MO
Enumeration date
04/10/2006
Last updated
03/27/2017
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