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NPI Code Detail

MEDICARE: USA DRUG & BEAUTY MARKET FRANCHISING SYSTEMS, INC.

MEDICARE: USA DRUG & BEAUTY MARKET FRANCHISING SYSTEMS, 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
1333600000XPharmacyAR18043AR
23336L0003XLong Term Care Pharmacy
3332B00000XDurable Medical Equipment & Medical SuppliesAR18043AR
43336C0003XCommunity/Retail Pharmacy

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
210620OTHERARMEDICARE FLU

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30418043OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588748628
Entity Type Code : Organization
Provider Name (Legal Business Name) : USA DRUG & BEAUTY MARKET FRANCHISING SYSTEMS, INC.
Provider Business Mailing Address
First Line : 2100 BROOKWOOD DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-1734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1920 MALCOLM AVE
Second Line :
City : NEWPORT
State : AR
Zip : 72112-3628
Country : US
Telephone Number : 870-523-9889
Fax Number : 870-523-3461
Authorized Official
Title or Position : DIRECTOR OF HME OPERATIONS
Name : MR. GARY M. BOONE
Credential :
Telephone Number : 479-394-6363
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/30/2008

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Directions to “USA DRUG & BEAUTY MARKET FRANCHISING SYSTEMS, INC. ” Practice Location

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