Faith Venture Pharmacy Inc

NPI 1831254259 - Pharmacy - 333600000X

NPI Details
NPI 1831254259
Enumeration Date 12/26/2006
Last Updated 02/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TOM TOM
Position OWNER PHARMACIST
Phone (479) 876-6200
Fax (479) 876-6287
Practice Location
20 SUGAR CREEK CTR
BELLA VISTA AR, 72714-3507, US
Phone (479) 876-6200
Fax (479) 876-6287
Business Location
20 SUGAR CREEK CTR
BELLA VISTA AR, 72714-3507, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State Arkansas
License Number 0420050
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According to our database, Faith Venture Pharmacy Inc NPI is 1831254259, taxonomy code is 333600000X and license number is 0420050, license state is located at Arkansas. Faith Venture Pharmacy Inc physically located at 20 Sugar Creek Ctr, Bella Vista AR, 72714-3507. NPI Number 1033115704 has the healthcare provider type.

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1831254259 NPI number is provided on an as is basis without warranty of any kind. 1831254259 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Venture Pharmacy Inc are for informational purposes only.