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.
|Practice Location||7337 Highway 62 W, Gassville, AR 72635-8636, US|
|Practice Location Phone||870-435-5757|
|Practice Location Fax||870-435-5758|
|Legal Business Name||PONDERS GASSVILLE PHARMACY|
|Enumeration Date ?||Aug 31, 2006|
|Last Update Date ?||Jul 31, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Provider Id||Issuer State||Issuer Type||Issuer|
|0421634||Other||OTHER ID NUMBER-COMMERCIAL NUMBER|
|0421634||Other||OTHER ID NUMBER|
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/Position||OWNER|
|Authorized Official Phone Number||870-425-5145|