Organization
NORTH CENTRAL I V & RESPIRATORY SPECIALISTS LLC
Active
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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