Healthcare Provider Details
I. General information
NPI: 1740334184
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2007
Last Update Date: 02/22/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
719 N CENTER ST
LONOKE AR
72086-2547
US
IV. Provider business mailing address
PO BOX 497
AUGUSTA AR
72006
US
V. Phone/Fax
- Phone: 501-676-6566
- Fax: 501-676-6009
- Phone: 870-347-2534
- Fax: 870-347-3492
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | AR04361 |
| License Number State | AR |
VIII. Authorized Official
Name:
BRANDON
ACHOR
Title or Position: OWNER
Credential: PHARM.D.
Phone: 501-681-5740