Healthcare Provider Details

I. General information

NPI: 1235239559
Provider Name (Legal Business Name): HARPS FOOD STORES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2894 W SUNSET AVE
SPRINGDALE AR
72762-4940
US

IV. Provider business mailing address

PO BOX 48
SPRINGDALE AR
72765-0048
US

V. Phone/Fax

Practice location:
  • Phone: 479-751-0882
  • Fax: 479-872-0646
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberAR20304
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT ACORD
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 479-757-0225