Fountain Lake Family Pharmacy LLC
Pharmacy in Hot Springs, AR. Organization (NPI-2).
NPI number1164081071
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1164081071
- Entity type
- Organization (NPI-2)
- Legal business name
- Fountain Lake Family Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2019
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
4517 Park AveSuite B
Hot Springs, AR 71901
Phone 501-547-3400 · Fax 844-805-7790
Mailing address
4517 Park AveSuite B
Hot Springs, AR 71901
Phone 501-547-3400 · Fax 844-805-7790
Authorized official
Michael David Butler
Owner
5015473400
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