Healthcare Provider Details

I. General information

NPI: 1467506923
Provider Name (Legal Business Name): PERKINS PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 NORTH MAIN STREET
NO LITTLE ROCK AR
72114
US

IV. Provider business mailing address

2520 NORTH MAIN STREET
NO LITTLE ROCK AR
72114
US

V. Phone/Fax

Practice location:
  • Phone: 501-758-7581
  • Fax: 501-758-8503
Mailing address:
  • Phone: 501-758-7581
  • Fax: 501-758-8503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberAR18966
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRY W PERKINS
Title or Position: OWNER PHARMACIST
Credential: PHARMD
Phone: 501-758-7581