MEDICARE: HAM'S DRUGS & GIFTS, 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	3336L0003X	Long Term Care Pharmacy
2	3336C0003X	Community/Retail Pharmacy	AR20321	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1993565	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851480537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAM'S DRUGS & GIFTS, INC.

Provider Business Mailing Address
First Line	:	237 MAIN ST
Second Line	:
City	:	STAMPS
State	:	AR
Zip	:	71860-2827
Country	:	US
Telephone Number	:	870-533-4311
Fax Number	:	870-533-2731

Provider Business Practice Location Address
First Line	:	237 MAIN ST
Second Line	:
City	:	STAMPS
State	:	AR
Zip	:	71860-2827
Country	:	US
Telephone Number	:	870-533-4311
Fax Number	:	870-533-2731

Authorized Official
Title or Position	:	OWNER
Name	:	COPIE DICKSON
Credential	:	PHARMD
Telephone Number	:	870-904-0232

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	09/13/2022

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Directions to “HAM'S DRUGS & GIFTS, INC. ” Practice Location

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