Healthcare Provider Details

I. General information

NPI: 1548710841
Provider Name (Legal Business Name): HARPS FOOD STORES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 HOUSTON AVE
PERRYVILLE AR
72126-9451
US

IV. Provider business mailing address

112 HOUSTON AVE
PERRYVILLE AR
72126-9451
US

V. Phone/Fax

Practice location:
  • Phone: 501-889-3399
  • Fax:
Mailing address:
  • Phone: 501-889-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT ACORD
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 479-466-8181