Organization
SUPERMARKET INVESTORS INC
Active
Other names
HARVEST FOODS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MCCRADY BS PHARMACY (DIRECTOR OF PHARMACY)
(501) 570-0007
Entity
Organization
Contact information
Practice address
4101 E KIEHL AVE, SHERWOOD, AR 72120-3539
(501) 835-2630
(501) 835-2681
Mailing address
4101 E KIEHL AVE, SHERWOOD, AR 72120-3539
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20127
AR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420252
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
134908407
—
AR
05
—
150860716
—
AR
Enumeration date
01/08/2007
Last updated
03/06/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us