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Cornerstone Pharmacy Of Bella Vista Llc

Cornerstone Pharmacy Of Bella Vista Llc is a health care provider in Bella Vista, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1 Mercy Way Ste 50, Bella Vista, AR 72714-3000, US
Practice Location Phone479-876-6200
Practice Location Fax479-876-2232
Legal Business NameCORNERSTONE PHARMACY OF BELLA VISTA LLC
Other Organization NameCORNERSTONE PHARMACY OF BELLA VISTA, LLC
Other Organization Name TypeDoing Business As Name
NPI ?1043546799
Entity TypeOrganization
Enumeration Date ? Oct 29, 2009
Last Update Date ? Dec 17, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Cornerstone Pharmacy Of Bella Vista Llc

SpecialtySpecializationLicenseLicense State
Pharmacy AR20616Arkansas
PharmacyCommunity/Retail Pharmacy
PharmacyCompounding Pharmacy

legacy-id-icon Legacy Provider IDs of Cornerstone Pharmacy Of Bella Vista Llc

Provider IdIssuer StateIssuer TypeIssuer
2122774OtherPK
183982407ArkansasMedicaid

official-icon Authorized Official of Cornerstone Pharmacy Of Bella Vista Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Cornerstone Pharmacy Of Bella Vista Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official James Graham (PH.D., PHARM. D)
Authorized Official Title/PositionCEO, OWNER
Authorized Official Phone Number479-876-6200