Organization
ARKANSAS METHODIST HOSP PHCY
Active
Other names
ARKANSAS METHODIST HOSP PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
STAN CARMACK PHARMD (DIRECTOR OF PHARMACY)
(870) 239-7861
Entity
Organization
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7861
(870) 239-7431
Mailing address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7861
(870) 239-7431
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP00079
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408838
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/22/2011
Last updated
09/22/2011
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