Healthcare Provider Details

I. General information

NPI: 1063507861
Provider Name (Legal Business Name): MEDISAV HOMECARE PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 E MAIN
CHARLESTON AR
72933
US

IV. Provider business mailing address

PO BOX 8
CHARLESTON AR
72933-0008
US

V. Phone/Fax

Practice location:
  • Phone: 479-965-2244
  • Fax:
Mailing address:
  • Phone: 479-965-2160
  • Fax: 479-965-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR06707
License Number StateAR

VIII. Authorized Official

Name: JAMIE SCHMALZ
Title or Position: DIRECTOR OF OPERATIONS, IT, COMPLIA
Credential:
Phone: 479-452-2210