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.
Practice Location | 830 E Main Street, Melbourne, AR 72556, US | ||
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Practice Location Phone | 870-368-7171 | ||
Practice Location Fax | 870-368-5295 | ||
Legal Business Name | SL GARDNER INC | ||
Other Organization Name | CORNER DRUG STORE | ||
Other Organization Name Type | Doing Business As Name | ||
NPI ? | 1326015371 | ||
Entity Type | Organization | ||
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 | Provider Type | Specialization | License | License State |
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Pharmacy | Suppliers | |||
Pharmacy | Suppliers | Community/Retail Pharmacy | AR11366 | Arkansas |
Pharmacy | Suppliers | Long Term Care Pharmacy | ||
Provider Id | Issuer State | Issuer Type | Issuer |
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1994142 | Other | PK | |
158762407 | Arkansas | Medicaid | |
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) |
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Authorized Official Title/Position | OWNER |
Authorized Official Phone Number | 870-368-7171 |