Healthcare Provider Details

I. General information

NPI: 1326858655
Provider Name (Legal Business Name): JMRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 HIGHWAY 67 S STE A
POCAHONTAS AR
72455-3773
US

IV. Provider business mailing address

PO BOX 572
POCAHONTAS AR
72455-0572
US

V. Phone/Fax

Practice location:
  • Phone: 870-202-2536
  • Fax: 870-202-2540
Mailing address:
  • Phone: 870-202-2536
  • 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: DR. GREGGORY TRENTON LANCE II
Title or Position: P.I.C. / OWNER
Credential: PHARM.D.
Phone: 870-202-2536