MEDICARE: CANTRELL HEALTH PHARMACY CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1447188958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTRELL HEALTH PHARMACY CORP

Provider Business Mailing Address
First Line	:	2106 WELLINGTON WOODS DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-2076
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 WELLINGTON WOODS DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-2076
Country	:	US
Telephone Number	:	501-442-0212
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HIBA SAJID
Credential	:
Telephone Number	:	501-442-0212

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “CANTRELL HEALTH PHARMACY CORP ” Practice Location

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