Healthcare Provider Details

I. General information

NPI: 1619336013
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 07/21/2022
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N JACKSON ST
CABOT AR
72023-3058
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 501-941-3116
  • Fax: 501-941-3063
Mailing address:
  • Phone: 870-347-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20832
License Number StateAR

VIII. Authorized Official

Name: DR. STEVEN COLLIER
Title or Position: CEO
Credential: M.D.
Phone: 870-347-2534