Healthcare Provider Details

I. General information

NPI: 1780084491
Provider Name (Legal Business Name): HARPS FOOD STORES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 08/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SHELBY RD
POPLAR BLUFF MO
63901-9051
US

IV. Provider business mailing address

918 S GUTENSOHN RD
SPRINGDALE AR
72762-5165
US

V. Phone/Fax

Practice location:
  • Phone: 573-778-9156
  • Fax:
Mailing address:
  • Phone: 479-757-0225
  • Fax: 479-751-3625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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