Healthcare Provider Details

I. General information

NPI: 1669423810
Provider Name (Legal Business Name): WARMACK PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 01/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 W 4TH ST
FORDYCE AR
71742
US

IV. Provider business mailing address

908 W 4TH ST
FORDYCE AR
71742-2216
US

V. Phone/Fax

Practice location:
  • Phone: 870-352-2161
  • Fax: 870-352-3236
Mailing address:
  • Phone: 870-352-2161
  • Fax: 870-352-3236

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 Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH HERRING
Title or Position: BOOKKEEPER / PHARMACY TECH
Credential:
Phone: 870-352-2161