Healthcare Provider Details

I. General information

NPI: 1114607736
Provider Name (Legal Business Name): VILLAGE APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 HWY 7 NORTH
HOT SPRINGS VILLAGE AR
71909
US

IV. Provider business mailing address

4440 HWY 7 NORTH
HOT SPRINGS VILLAGE AR
71909
US

V. Phone/Fax

Practice location:
  • Phone: 501-922-0777
  • Fax: 501-922-0787
Mailing address:
  • Phone: 501-922-0777
  • Fax: 501-922-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BUTLER
Title or Position: PRESIDENT
Credential:
Phone: 501-922-0777