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General NPI Number Information
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NPI Number | 1083625610
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Entity Type | Organization
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Legal Business Name | SMACKOVER FAMILY PHARMACY, LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1402 PERSHING HWY
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City | SMACKOVER
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State | AR
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Zip | 71762
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Country | US
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Telephone | 870-725-2220
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Fax | 870-725-2040
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Provider Business Mailing Address
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Address Line | 1402 PERSHING HWY
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City | SMACKOVER
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State | AR
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Zip | 71762
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Country | US
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Telephone | 870-725-2220
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Fax | 870-725-2040
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Authorized Official
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Title or Position | OWNER,SMACKOVER FAMILY PHARMACY,LLC
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Name | AUSTIN LAMBERT
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Credential | PHARM.D
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Telephone | 870-725-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR20534
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License Number State | AR
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