Organization
SELECT MEDICAL SUPPLIES OF ARKANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA WESSON (PRESIDENT)
(917) 562-8007
Entity
Organization
Contact information
Practice address
24 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-3813
(870) 845-3808
Mailing address
24 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-3813
(870) 845-3808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG01007
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189835716
—
AR
01
—
4T128
BCBS
AR
Enumeration date
09/01/2010
Last updated
11/19/2018
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