Organization
E&F FOWLER INC
Active
Parent organization
E&F FOWLER INC
Other names
Horseshoe Health & Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
E&F FOWLER INC
Authorized official
JENIFER MICHELE BLAIR (OFFICE)
(870) 670-4580
Entity
Organization
Contact information
Practice address
600 MARKET ST, HORSESHOE BEND, AR 72512-3876
(870) 670-4580
Mailing address
600 MARKET ST, HORSESHOE BEND, AR 72512-3876
(870) 670-4580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20535
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427228659
BCBS
AR
01
—
161094407
MEDICAID RX PROVIDER ID
AR
05
—
162358716
—
AR
01
—
165787733
MEDICAID OLD RX PROVIDER ID
AR
01
—
49969
BCBS
AR
01
—
5F775
BCBS
AR
01
—
B08007585
MEDICARE EDI TRADING PARTNER ID
AR
01
—
E3439
EDI SUBMITTER #
AR
Enumeration date
01/16/2015
Last updated
01/16/2015
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