Healthcare Provider Details

I. General information

NPI: 1962960344
Provider Name (Legal Business Name): JMRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N. WALNUT STREET
IMBODEN AR
72434
US

IV. Provider business mailing address

PO BOX 572
POCAHONTAS AR
72455-0572
US

V. Phone/Fax

Practice location:
  • Phone: 870-869-2046
  • Fax: 870-869-3302
Mailing address:
  • Phone: 870-202-2536
  • Fax: 870-202-2540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOEY MICHAEL ROBBINS
Title or Position: PHARMACIST/OWNER
Credential: PD
Phone: 870-202-2536