Organization
CORNERSTONE PHARMACY MAIN LLC
Active
Other names
Cornerstone Pharmacy Main, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
T F KENNETH HARRISON (OWNER/PRESIDENT/AO)
(501) 223-8450
Entity
Organization
Contact information
Practice address
1701 MAIN ST, LITTLE ROCK, AR 72206-1471
(501) 246-5451
(501) 414-8476
Mailing address
1701 MAIN ST, LITTLE ROCK, AR 72206-1471
(501) 246-5451
(501) 400-8917
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159636
PK
—
Enumeration date
04/21/2016
Last updated
02/20/2017
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