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ARKANSAS CHILDRENS HOSPITAL

Suppliers Pharmacy

Provider NPI: 1134155831

Organization Information:
Organization Name:  ARKANSAS CHILDRENS HOSPITAL
Organization is not Subpart
Authorized Official:  VINCENT  ROSE  OUTPATIENT PHARM MANAGER  501-364-1272

Practice Location:
1 CHILDRENS WAY  LITTLE ROCK, AR 72202-3500 US
Tel: 501-364-1272  Fax: 501-364-4225

Business Mailing Address:
PO BOX 8088  LITTLE ROCK, AR 72203-8088 US
Tel: --  Fax: --

NPI Information:
NPI: 1134155831
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0002XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
ARAR08143

Other Provider Identifiers:

IssuerNumberStateType
011381209MO05
100514407AR05
100817680COK05
00097767MS05
1742104LA05
PK199361501
580038TX05



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



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