1477598795 PEDIATRIC NUTRITION PROV OF AR
Long Term Care Pharmacy
Active
Basic Information
- Organization Name
- PEDIATRIC NUTRITION PROV OF AR
- Enumeration Date
- June 19, 2006
- Last Update
- August 22, 2020
- Authorized Official
- LEONARD GRAY PHARMD
CO OWNER
Phone: (901) 315-7337
Practice Location
- Address
- 920 EDISON AVE
STE 9
BENTON, AR 720154502 - Phone
- (501) 315-7337
- Fax
- (501) 778-7488
Mailing Address
- Address
- 920 EDISON AVE
STE 9
BENTON, AR 720154502 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Long Term Care Pharmacy Long Term Care Pharmacy | 3336L0003X | Pharmacy | N/A | N/A | No |
| Pharmacy | 333600000X | Pharmacy | AR20528 | AR | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0422357 | 01 | N/A | OTHER ID NUMBER-COMMERCIAL NUMBER |
Frequently Asked Questions
What is PEDIATRIC NUTRITION PROV OF AR's NPI number?
PEDIATRIC NUTRITION PROV OF AR's NPI number is 1477598795.
Which doctor has NPI number 1477598795?
The doctor with NPI number 1477598795 is PEDIATRIC NUTRITION PROV OF AR.
What is PEDIATRIC NUTRITION PROV OF AR's practice address?
PEDIATRIC NUTRITION PROV OF AR's practice address is 920 EDISON AVE, STE 9, BENTON, AR, 720154502.
Which doctor practices at 920 EDISON AVE, STE 9, BENTON, AR, 720154502?
PEDIATRIC NUTRITION PROV OF AR practices at 920 EDISON AVE, STE 9, BENTON, AR, 720154502.
What is PEDIATRIC NUTRITION PROV OF AR's phone number?
PEDIATRIC NUTRITION PROV OF AR's phone number is (501) 315-7337.
Who is (501) 315-7337?
(501) 315-7337 is the phone number for PEDIATRIC NUTRITION PROV OF AR.
What is PEDIATRIC NUTRITION PROV OF AR's specialty?
PEDIATRIC NUTRITION PROV OF AR's specialty is Long Term Care Pharmacy.
What type of doctor is PEDIATRIC NUTRITION PROV OF AR?
PEDIATRIC NUTRITION PROV OF AR is a Long Term Care Pharmacy.
Is PEDIATRIC NUTRITION PROV OF AR a Long Term Care Pharmacy?
Yes, PEDIATRIC NUTRITION PROV OF AR is a Long Term Care Pharmacy.
Is PEDIATRIC NUTRITION PROV OF AR still practicing?
Yes, PEDIATRIC NUTRITION PROV OF AR is currently practicing.
Is PEDIATRIC NUTRITION PROV OF AR accepting new patients?
PEDIATRIC NUTRITION PROV OF AR may be accepting new patients. Please call their office at (501) 315-7337 to inquire about availability.
Is NPI 1477598795 still active?
Yes, NPI 1477598795 is currently active.
Where does PEDIATRIC NUTRITION PROV OF AR practice?
PEDIATRIC NUTRITION PROV OF AR practices in BENTON, AR.