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Organization

NORTH CENTRAL I V & RESPIRATORY SPECIALISTS LLC

Active
Other names
NORTH CENTRAL I V & RESPIRATORY SPECIALISTS LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY DARR (VP)
(870) 932-0150
Entity
Organization

Contact information

Practice address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0870
Mailing address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150

Taxonomy

Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
AR20370
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0421901
NCPDP PROVIDER IDENTIFICATION NUMBER
05
150355407
AR
05
152028716
AR
05
154617733
AR
Enumeration date
07/23/2006
Last updated
12/08/2010
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