Healthcare Provider Details

I. General information

NPI: 1851480537
Provider Name (Legal Business Name): HAM'S DRUGS & GIFTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 MAIN ST
STAMPS AR
71860-2827
US

IV. Provider business mailing address

237 MAIN ST
STAMPS AR
71860-2827
US

V. Phone/Fax

Practice location:
  • Phone: 870-533-4311
  • Fax: 870-533-2731
Mailing address:
  • Phone: 870-533-4311
  • Fax: 870-533-2731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20321
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: COPIE DICKSON
Title or Position: OWNER
Credential: PHARMD
Phone: 870-904-0232