Healthcare Provider Details

I. General information

NPI: 1548671407
Provider Name (Legal Business Name): HEJNY ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 BRADEN ST
JACKSONVILLE AR
72076-3719
US

IV. Provider business mailing address

1300 BRADEN ST
JACKSONVILLE AR
72076-3719
US

V. Phone/Fax

Practice location:
  • Phone: 501-985-5916
  • Fax: 501-985-5918
Mailing address:
  • Phone: 501-985-5916
  • Fax: 501-985-5918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20746
License Number StateAR

VIII. Authorized Official

Name: MRS. BRITTANY GOINGS MARSH
Title or Position: PRESIDENT
Credential:
Phone: 501-985-5916