Organization
FAITH VENTURE PHARMACY INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOM CRISLER RPH (OWNER PHARMACIST)
(479) 876-6200
Entity
Organization
Contact information
Practice address
20 SUGAR CREEK CTR, BELLA VISTA, AR 72714-3507
(479) 876-6200
(479) 876-6287
Mailing address
20 SUGAR CREEK CTR, BELLA VISTA, AR 72714-3507
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0420050
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420050
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
03/07/2023
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