Home » Arkansas » 72556 » Sl Gardner Inc

Sl Gardner Inc

Sl Gardner Inc is a health care provider in Melbourne, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 830 E Main Street, Melbourne, AR 72556, US
Practice Location Phone870-368-7171
Practice Location Fax870-368-5295
Legal Business NameSL GARDNER INC
Other Organization NameCORNER DRUG STORE
Other Organization Name TypeDoing Business As Name
NPI ?1326015371
Entity TypeOrganization
Enumeration Date ? Mar 8, 2006
Last Update Date ? Apr 19, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Sl Gardner Inc

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy AR11366Arkansas
PharmacyLong Term Care Pharmacy

legacy-id-icon Legacy Provider IDs of Sl Gardner Inc

Provider IdIssuer StateIssuer TypeIssuer
1994142OtherPK
158762407ArkansasMedicaid

official-icon Authorized Official of Sl Gardner Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Sl Gardner Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Lisa Gardner (PHARMD)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number870-368-7171