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Ponders Gassville Pharmacy

Ponders Gassville Pharmacy is a health care provider in Gassville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7337 Highway 62 W, Gassville, AR 72635-8636, US
Practice Location Phone870-435-5757
Practice Location Fax870-435-5758
Legal Business NamePONDERS GASSVILLE PHARMACY
NPI ?1710099700
Entity TypeOrganization
Enumeration Date ? Aug 31, 2006
Last Update Date ? Jul 31, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ponders Gassville Pharmacy

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy AR20338Arkansas

legacy-id-icon Legacy Provider IDs of Ponders Gassville Pharmacy

Provider IdIssuer StateIssuer TypeIssuer
4674510001Medicare Nsc
0421634OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0421634OtherOTHER ID NUMBER

official-icon Authorized Official of Ponders Gassville Pharmacy

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

Authorized Official Danny Ponder (PD CDM)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number870-425-5145