Organization
C A KUYKENDALL INC
Active
Other names
Village Pharmacy, Village Pharmacy / Village Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER ARTHUR KUYKENDALL JR. P.D. (PRESIDENT)
(479) 667-2101
Entity
Organization
Contact information
Practice address
500 W COMMERCIAL ST, OZARK, AR 72949-3112
(479) 667-2101
(479) 667-1270
Mailing address
500 W COMMERCIAL ST, OZARK, AR 72949-3112
(479) 667-2101
(479) 667-1270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
AR12813
AR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
AR12813
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
AR12813
AR
3336C0003X
Community/Retail Pharmacy
Primary
AR12813
AR
3336C0004X
Compounding Pharmacy
AR12813
AR
3336H0001X
Home Infusion Therapy Pharmacy
AR12813
AR
3336L0003X
Long Term Care Pharmacy
AR12813
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412813
NABP
AR
01
—
05988024001
AR SALES & USE PERMIT
AR
05
—
100486407
—
AR
05
—
102251716
—
AR
01
—
AR12813
ARK PHARMACY LISC
AR
Enumeration date
10/18/2006
Last updated
05/24/2025
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