Organization
USA DRUG & BEAUTY MARKET FRANCHISING SYSTEMS, INC.
Active
Other names
USA DRUG #11
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M. BOONE (DIRECTOR OF HME OPERATIONS)
(479) 394-6363
Entity
Organization
Contact information
Practice address
1920 MALCOLM AVE, NEWPORT, AR 72112-3628
(870) 523-9889
(870) 523-3461
Mailing address
2100 BROOKWOOD DR, LITTLE ROCK, AR 72202-1734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
AR18043
AR
333600000X
Pharmacy
AR18043
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0418043
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
10620
MEDICARE FLU
AR
05
—
123247407
—
AR
01
—
135697716
MEDICAID DME
AR
Enumeration date
10/25/2006
Last updated
10/30/2008
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