Lyon Drug Company Maumelle Inc
Community/Retail Pharmacy
1900 Club Manor Dr Ste 101, Maumelle
Arkansas, 72113-7443
501-803-9400 501-803-9441
Lyon Drug Company Maumelle Inc is a Community/Retail Pharmacy in Maumelle, Arkansas. It is located at 1900 Club Manor Dr Ste 101, Maumelle and it's customer support contact number is 501-803-9400. The authorized person of Lyon Drug Company Maumelle Inc is Brent Bradley, RPH who is President/owner/pic of the pharmacy and his contact number is 501-553-3604. Active license number of Lyon Drug Company Maumelle Inc is AR20638 for Community/Retail Pharmacy in Arkansas. Lyon Drug Company Maumelle Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lyon Drug Company Maumelle Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Lyon Drug Company Maumelle Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lyon Drug Company Maumelle Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 1900 Club Manor Dr Ste 101, Maumelle,
Arkansas, 72113-7443 |
| Phone: | 501-803-9400 |
| Fax: | 501-803-9441 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Brent Bradley |
| Credentials: | RPH |
| Position: | President/owner/pic |
| Contact Number: | 501-553-3604 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1407157167 |
| NPI Enumeration Date: | 11 Nov, 2010 |
| NPI Last Update On: | 05 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyon Drug Company Maumelle Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | AR20638 | Arkansas | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 186574407 | Medicaid | Arkansas | |
| 2127857 | Other | | Pk |
Medicare Enrollment:
Lyon Drug Company Maumelle Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1052590775 | O20110127000535 | Lyon Drug Company Maumelle, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1900 Club Manor Dr Ste 101,
Maumelle, Arkansas |
| Zip: | 72113-7443 |
| Phone Number: | 501-803-9400 |
| Fax Number: | 501-803-9441 |
Patients can reach Lyon Drug Company Maumelle Inc at
1900 Club Manor Dr Ste 101, Maumelle, Arkansas or can
call on customer care at 501-803-9400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.