Healthcare Provider Details

I. General information

NPI: 1346172152
Provider Name (Legal Business Name): A & H ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3644 W STATE HIGHWAY 18
MANILA AR
72442-8049
US

IV. Provider business mailing address

PO BOX 1109
MANILA AR
72442-1109
US

V. Phone/Fax

Practice location:
  • Phone: 870-561-1500
  • Fax:
Mailing address:
  • Phone: 870-561-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HEATHER WAGNER
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 870-561-1500