Healthcare Provider Details

I. General information

NPI: 1700722840
Provider Name (Legal Business Name): AUSTEN DAVID HACKER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 N RODNEY PARHAM RD
LITTLE ROCK AR
72227-6202
US

IV. Provider business mailing address

1415 MESQUITE DR
LITTLE ROCK AR
72211-5433
US

V. Phone/Fax

Practice location:
  • Phone: 501-223-9814
  • Fax:
Mailing address:
  • Phone: 501-522-5828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD14647
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: