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.
Basic Information| Practice Location | 830 E Main Street, Melbourne, AR 72556, US | ||
|---|---|---|---|
| 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). | |||
Specialties & Licenses of Sl Gardner Inc| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Pharmacy | Suppliers | |||
| Pharmacy | Suppliers | Community/Retail Pharmacy | AR11366 | Arkansas |
| Pharmacy | Suppliers | Long Term Care Pharmacy | ||
Legacy Provider IDs of Sl Gardner Inc| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 1994142 | Other | PK | |
| 158762407 | Arkansas | Medicaid | |
Authorized Official of Sl Gardner IncAn 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/Position | OWNER |
| Authorized Official Phone Number | 870-368-7171 |
