Healthcare Provider Details

I. General information

NPI: 1184635765
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 STUTTGART HIGHWAY
ENGLAND AR
72046-1557
US

IV. Provider business mailing address

117 S. 2ND STREET, PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 501-842-2575
  • Fax: 501-842-9335
Mailing address:
  • Phone: 870-347-2534
  • Fax: 501-842-9335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR17786
License Number StateAR

VIII. Authorized Official

Name: JEREMY BEEHN
Title or Position: CFA
Credential:
Phone: 870-347-3342