1447317714 NPI number — MCFARLIN PHARMACY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447317714 NPI number — MCFARLIN PHARMACY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCFARLIN PHARMACY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MCFARLIN PHARMACY INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447317714
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 148
Provider Second Line Business Mailing Address:
101 WEST DREW
Provider Business Mailing Address City Name:
MONETTE
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 WEST DREW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONETTE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-486-5220
Provider Business Practice Location Address Fax Number:
870-486-5221
Provider Enumeration Date:
01/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCFARLIN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
870-486-5220

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: AR20375 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 606106409 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1989519 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 152185407 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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