Healthcare Provider Details

I. General information

NPI: 1598166399
Provider Name (Legal Business Name): VILLAGE APOTHECARY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 N HIGHWAY 7
HOT SPRINGS AR
71909-9605
US

IV. Provider business mailing address

4440 N HIGHWAY 7
HOT SPRINGS AR
71909-9301
US

V. Phone/Fax

Practice location:
  • Phone: 501-620-4053
  • Fax: 501-620-4540
Mailing address:
  • Phone: 501-922-0777
  • Fax: 501-922-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL D BUTLER
Title or Position: PHARMACIST/OWNER
Credential: PHARM D
Phone: 501-922-0777