=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497364319
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | R2H2 BUSINESS ENTERPRISES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2020
-----------------------------------------------------
Last Update Date | 08/23/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 408 W MAIN ST
-----------------------------------------------------
City | HEBER SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72543-3017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-270-8888
-----------------------------------------------------
Fax | 501-270-6677
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 408 W MAIN ST
-----------------------------------------------------
City | HEBER SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72543-3017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-270-8888
-----------------------------------------------------
Fax | 501-270-6677
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER / PHARMACIST
-----------------------------------------------------
Name | SPENCER M. REED
-----------------------------------------------------
Credential | PHARM D.
-----------------------------------------------------
Telephone | 501-206-2117
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------