MEDICARE: HARKNESS, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770595969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARKNESS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 155
Second Line	:
City	:	ATKINS
State	:	AR
Zip	:	72823-0155
Country	:	US
Telephone Number	:	479-641-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601-B NORTH CHURCH ST
Second Line	:
City	:	ATKINS
State	:	AR
Zip	:	72823-4149
Country	:	US
Telephone Number	:	479-641-1330
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ PHARMACIST
Name	:	MISTI D EVANS
Credential	:	PHARM.D.
Telephone Number	:	479-641-7878

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	04/07/2023

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Directions to “HARKNESS, INC. ” Practice Location

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