Healthcare Provider Details

I. General information

NPI: 1790651842
Provider Name (Legal Business Name): HOT SPRINGS PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 AIRPORT RD
HOT SPRINGS AR
71913-5334
US

IV. Provider business mailing address

1210 AIRPORT RD
HOT SPRINGS AR
71913-5334
US

V. Phone/Fax

Practice location:
  • Phone: 501-760-2444
  • Fax: 501-760-2449
Mailing address:
  • Phone: 501-760-2444
  • Fax: 501-760-2449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: ADUSTON SPIVEY
Title or Position: OWNER/PIC
Credential: PHARMD
Phone: 501-760-2444