Pediatric Nutrition Providers Of Arkansas is not a DME supplier for medicare equipments and products.
Pediatric Nutrition Providers Of Arkansas is a Community/Retail Pharmacy in Benton, Arkansas. This pharmacy is owned and operated by Access Pharmacy. It is located at 920 Edison Ave, Suite 9, Benton and it's customer support contact number is 501-315-2025. The authorized person of Pediatric Nutrition Providers Of Arkansas is Dr. Leonard R Gray, PHARMD who is Owner of the pharmacy and his contact number is 501-315-2025. Active license number of Pediatric Nutrition Providers Of Arkansas is AR20528 for Community/Retail Pharmacy in Arkansas. Pediatric Nutrition Providers Of Arkansas 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:
Pediatric Nutrition Providers Of Arkansas 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:
Pediatric Nutrition Providers Of Arkansas
Type:
Community/Retail Pharmacy
Location:
920 Edison Ave, Suite 9, Benton, Arkansas, 72015-4502
Phone:
501-315-2025
Fax:
501-315-1034
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:
Dr. Leonard R Gray
Credentials:
PHARMD
Position:
Owner
Contact Number:
501-315-2025
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:
1144301136
NPI Enumeration Date:
18 Oct, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Nutrition Providers Of Arkansas are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
AR20528
Arkansas
Primary
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
0422357
Other
Arkansas
Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
920 Edison Ave, Suite 9 Benton, Arkansas
Zip:
72015-4502
Phone Number:
501-315-2025
Fax Number:
501-315-1034
Patients can reach Pediatric Nutrition Providers Of Arkansas at 920 Edison Ave, Suite 9, Benton, Arkansas or can call on customer care at 501-315-2025.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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