Organization
TRIPHARMA INC
Active
Other names
LOWELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LYKINS (OWNER)
(479) 770-0111
Entity
Organization
Contact information
Practice address
114 HARRISON AVE, LOWELL, AR 72745-9047
(479) 770-0111
(479) 770-0113
Mailing address
PO BOX 1095, GRAVETTE, AR 72736-1095
(479) 770-0111
(479) 770-0113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20378
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152351407
—
AR
01
—
1989523
PK
—
Enumeration date
12/21/2005
Last updated
01/05/2022
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