Organization
HEALTHCARE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY B STEPHENS RPH (PRESIDENT)
(501) 888-7514
Entity
Organization
Contact information
Practice address
3401 ATWOOD RD, SUITE F, LITTLE ROCK, AR 72206-6012
(501) 888-7514
(501) 888-7504
Mailing address
3401 ATWOOD RD, SUITE F, LITTLE ROCK, AR 72206-6012
(501) 888-7514
(501) 888-7504
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116749407
—
AR
Enumeration date
10/06/2005
Last updated
01/22/2019
Update your record
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