Healthcare Provider Details

I. General information

NPI: 1770595969
Provider Name (Legal Business Name): HARKNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601-B NORTH CHURCH ST
ATKINS AR
72823-4149
US

IV. Provider business mailing address

PO BOX 155
ATKINS AR
72823-0155
US

V. Phone/Fax

Practice location:
  • Phone: 479-641-1330
  • Fax:
Mailing address:
  • Phone: 479-641-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MISTI D EVANS
Title or Position: OWNER/ PHARMACIST
Credential: PHARM.D.
Phone: 479-641-7878