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NPI Code Detail

MEDICARE: HOT SPRINGS PHARMACY, LLC

MEDICARE: HOT SPRINGS PHARMACY, LLC
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
1183500000XPharmacist
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1790651842
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOT SPRINGS PHARMACY, LLC
Provider Business Mailing Address
First Line : 1210 AIRPORT RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-5334
Country : US
Telephone Number : 501-760-2444
Fax Number : 501-760-2449
Provider Business Practice Location Address
First Line : 1210 AIRPORT RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-5334
Country : US
Telephone Number : 501-760-2444
Fax Number : 501-760-2449
Authorized Official
Title or Position : OWNER/PIC
Name : ADUSTON SPIVEY
Credential : PHARMD
Telephone Number : 501-760-2444
Provider Enumeration Date : 10/15/2025
Last Update Date : 12/18/2025

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Directions to “HOT SPRINGS PHARMACY, LLC ” Practice Location

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