Healthcare Provider Details

I. General information

NPI: 1730194341
Provider Name (Legal Business Name): BARLOW PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 FAYETTEVILLE RD
VAN BUREN AR
72956-2246
US

IV. Provider business mailing address

PO BOX 6877
VAN BUREN AR
72956-0841
US

V. Phone/Fax

Practice location:
  • Phone: 479-474-7171
  • Fax: 479-474-3131
Mailing address:
  • Phone: 479-474-7171
  • Fax: 479-474-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR17724
License Number StateAR

VIII. Authorized Official

Name: RICHARD BARLOW
Title or Position: OWNER/OFFICER
Credential:
Phone: 479-474-3466