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HEALTH DEPOT PHARMACIES, LLC

Suppliers Pharmacy Long Term Care Pharmacy

Provider NPI: 1013473263

Organization Information:
Organization Name:  HEALTH DEPOT PHARMACIES, LLC
Organization is not Subpart
Authorized Official:  BREANN  MASHBURN  BILLING DIRECTOR  479-646-7875

Practice Location:
7700 HIGHWAY 271 S  FORT SMITH, AR 72908-8028 US
Tel: 479-646-7875  Fax: 479-646-3090

Business Mailing Address:
7700 HIGHWAY 271 S  FORT SMITH, AR 72908-8028 US
Tel: 479-646-7875  Fax: 479-646-3090

NPI Information:
NPI: 1013473263
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336L0003XSuppliers
Pharmacy
Long Term Care Pharmacy

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3336L0003X

Type:

Classification:



Definition:



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