Healthcare Provider Details
I. General information
NPI: 1447317714
Provider Name (Legal Business Name): MCFARLIN PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2007
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 WEST DREW
MONETTE AR
72447
US
IV. Provider business mailing address
PO BOX 148 101 WEST DREW
MONETTE AR
72447
US
V. Phone/Fax
- Phone: 870-486-5220
- Fax: 870-486-5221
- Phone:
- Fax:
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 | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | AR20375 |
| License Number State | AR |
VIII. Authorized Official
Name:
MICHAEL
MCFARLIN
Title or Position: PRESIDENT
Credential: PHD
Phone: 870-486-5220