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General NPI Number Information
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NPI Number | 1487764510
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Entity Type | Organization
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Legal Business Name | LONOKE HEALTH & WELLNESS INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 115 W FRONT ST
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City | LONOKE
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State | AR
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Zip | 72086-3117
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Country | US
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Telephone | 501-676-2247
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Fax | 501-676-3833
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Provider Business Mailing Address
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Address Line | PO BOX 680
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City | LONOKE
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State | AR
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Zip | 72086-0680
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Country | US
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Telephone | 501-676-2247
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Fax | 501-676-3833
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Authorized Official
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Title or Position | OWNER
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Name | TRISHA L SMITH
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Credential | PHARMD
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Telephone | 501-676-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR20286
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License Number State | AR
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