Professional Pharmacy Services Inc. in Lake Village - Parenteral & Enteral Nutrition
Professional Pharmacy Services Inc. - NPI 1992809560
Professional Pharmacy Services Inc. is a Parenteral & Enteral Nutrition in Lake Village, Arkansas. Professional Pharmacy Services Inc. practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Professional Pharmacy Services Inc. is 1992809560. The last update date is 2016-02-12.
Professional Pharmacy Services Inc.'s current location address is Po Box 552, Lake Village, Arkansas. You can contact this provider via phone number 6623788860 and fax number 6623788618. The mailing address for Professional Pharmacy Services Inc. is Po Box 552, Lake Village, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Pharmacy Services Inc. |
|---|---|
| Address | Po Box 552, Lake Village, Arkansas |
| Phone Number | 6623788860 |
| Fax Number | 6623788618 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Crouse L Khalil |
| Telephone Number | 8702652220 |
NPI Number Detail
| NPI Number | 1992809560 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2016-02-12 |
Provider Mailing Address Detail
| Address | Po Box 552 |
|---|---|
| City | Lake Village |
| State | Arkansas (AR) |
| Post Code | 716530552 |
| Phone Number | 6623788860 |
| Fax Number | 6623788618 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | AR-20331 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115721716 | AR | -- | |
| 4A032 | AR | BCBS | |
| 116277407 | AR | -- |
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What is the Professional Pharmacy Services Inc.'s 1992809560?
The Professional Pharmacy Services Inc.'s NPI (National Provider Identifier) Number is 1992809560. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Professional Pharmacy Services Inc. located?
The Professional Pharmacy Services Inc. is located at Po Box 552, Lake Village, AR 716530552.
What is Professional Pharmacy Services Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Professional Pharmacy Services Inc. is Parenteral & Enteral Nutrition, and the taxonomy classification code that categorizes this area of expertise is 332Bp3500X.
On what date was the 1992809560 assigned to Professional Pharmacy Services Inc.?
The Professional Pharmacy Services Inc. was issued its 1992809560 on 2006-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Professional Pharmacy Services Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Professional Pharmacy Services Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-02-12.
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