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S L Gardner Inc

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.

physician-icon Basic Information

Practice Location 830 E Main St, Melbourne, AR 72556, US
Practice Location Phone870-368-7171
Practice Location Fax870-368-5295
Legal Business NameS L GARDNER INC
Other Organization NameCORNER DRUG STORE
Other Organization Name TypeDoing Business As Name
NPI ?1811003338
Entity TypeOrganization
Enumeration Date ? Aug 21, 2006
Last Update Date ? Aug 7, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of S L Gardner Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
PharmacyCommunity/Retail Pharmacy AR11366Arkansas

legacy-id-icon Legacy Provider IDs of S L Gardner Inc

Provider IdIssuer StateIssuer TypeIssuer
BB9501962OtherDEA
47636ArkansasOtherBCBS
290317-33-001ArkansasOtherSALES TAX PERMIT
159450716ArkansasMedicaid

official-icon Authorized Official of S L Gardner Inc

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/PositionOWNER
Authorized Official Phone Number870-368-7171