Organization
HAWKINS RX, LLC
Active
Other names
LAKESIDE PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
LAYNE J HAWKINS (OWNER)
(870) 445-7188
Entity
Organization
Contact information
Practice address
902 CENTRAL BLVD, BULL SHOALS, AR 72619-3223
(870) 445-7188
(870) 445-4850
Mailing address
PO BOX 190, BULL SHOALS, AR 72619-0190
(870) 445-7188
(870) 445-4850
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
12/03/2024
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