Healthcare Provider Details
I. General information
NPI: 1144426974
Provider Name (Legal Business Name): HARPS FOOD STORES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2007
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
715 N. 2ND STREET
ROGERS AR
72756
US
IV. Provider business mailing address
PO BOX 48
SPRINGDALE AR
72765-0048
US
V. Phone/Fax
- Phone: 479-757-0224
- Fax: 479-751-3625
- Phone: 479-751-7601
- Fax: 479-751-3625
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
F
ACORD
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 479-757-0225