Healthcare Provider Details

I. General information

NPI: 1790306124
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HWY 365
MAYFLOWER AR
72106
US

IV. Provider business mailing address

P O BOX 497
AUGUSTA AR
72006
US

V. Phone/Fax

Practice location:
  • Phone: 501-470-9627
  • Fax: 501-889-2878
Mailing address:
  • Phone: 870-347-2534
  • Fax: 870-347-3492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEREMY BEEHN
Title or Position: CFA
Credential:
Phone: 870-347-3342