S L 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 St, Melbourne, AR 72556, US|
|Practice Location Phone||870-368-7171|
|Practice Location Fax||870-368-5295|
|Legal Business Name||S L GARDNER INC|
|Other Organization Name||CORNER DRUG STORE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Aug 21, 2006|
|Last Update Date ?||Aug 7, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|
|Provider Id||Issuer State||Issuer Type||Issuer|
|290317-33-001||Arkansas||Other||SALES TAX PERMIT|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the S L 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 M Gardner (PHARM D)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||870-368-7171|