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General NPI Number Information
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NPI Number | 1619028602
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Entity Type | Organization
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Legal Business Name | NORTH HILLS PHARMACY INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6221 COLONEL GLENN RD
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City | LITTLE ROCK
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State | AR
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Zip | 72204-7731
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Country | US
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Telephone | 501-562-3740
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 45785
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City | LITTLE ROCK
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State | AR
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Zip | 72214-5785
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Country | US
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Telephone | 501-562-3740
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIKE HORN
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Credential | PD
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Telephone | 501-562-3740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR20166
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License Number State | AR
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