Kavanaugh Pharmacy

NPI 1093858698 - Pharmacy - 3336C0003X

NPI Details
NPI 1093858698
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS GREGORY THOMAS
Position PHARMACIST-IN-CHARGE
Phone (501) 664-3844
Fax
Practice Location
5008 KAVANAUGH BLVD
LITTLE ROCK AR, 72207-4747, US
Phone (501) 664-3844
Fax
Business Location
5008 KAVANAUGH BLVD
LITTLE ROCK AR, 72207-4747, US
Phone (501) 664-3844
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Arkansas
License Number AR04183
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According to our database, Kavanaugh Pharmacy NPI is 1093858698, taxonomy code is 3336C0003X and license number is AR04183, license state is located at Arkansas. Kavanaugh Pharmacy physically located at 5008 Kavanaugh Blvd, Little Rock AR, 72207-4747. NPI Number 1033115704 has the healthcare provider type.

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1093858698 NPI number is provided on an as is basis without warranty of any kind. 1093858698 is maintained by the National Plan & Provider Enumeration System. The contents of Kavanaugh Pharmacy are for informational purposes only.