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NPI Code Detail

MEDICARE: LAWS VILLAGE PHARMACY, INC.

MEDICARE: LAWS VILLAGE PHARMACY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacyAR-14576AR

General Provider Information

NPI Number : 1417942731
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWS VILLAGE PHARMACY, INC.
Provider Business Mailing Address
First Line : 2504 MARKET TRCE
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-8676
Country : US
Telephone Number : 479-646-5505
Fax Number : 479-649-7535
Provider Business Practice Location Address
First Line : 2504 MARKET TRCE
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-8676
Country : US
Telephone Number : 479-646-5505
Fax Number : 479-649-7535
Authorized Official
Title or Position : OWNER
Name : MR. JOSEPH KORKAMES
Credential : R.PH
Telephone Number : 479-646-5505
Provider Enumeration Date : 09/13/2005
Last Update Date : 08/22/2020

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Directions to “LAWS VILLAGE PHARMACY, INC. ” Practice Location

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