East Arkansas Family Health Center Inc.
Organization Active NPI Community/Retail Pharmacy · Lepanto, AR
NPI 1295952182 · NPPES record last updated May 7, 2020
Key facts
- NPI
- 1295952182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- EAST ARKANSAS FAMILY HEALTH CENTER INC.
- Practice address
- 102 W Broad
Lepanto, AR 72354 - Phone
- (870) 735-3846
- Fax
- (870) 732-1940
- NPI assigned
- Apr 20, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- EAST ARKANSAS FAMILY HEALTH CENTER INC.
Authorized official
- Name
- Dr. Susan E Ward-Jones, MD
- Title
- Cheif Executive Officer
- Phone
- (870) 735-3842
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- E Ar Family Health Ctr Inc
- Part of
- E Ar Family Health Ctr Inc
Locations
102 W Broad St
Lepanto, AR 72354
Phone (870) 475-2977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
102 W Broad
Lepanto, AR 72354
Mailing address
102 W Broad
Lepanto, AR 72354
Phone (870) 735-3846
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100862407 | Medicaid | AR |
Other names
- East Arkansas Family Health Center Pharmacy
Other providers in Lepanto, AR
- Kristi Renee Allen
- Cynthia Landry DDS
- Doctors Health Group, Inc
- East Arkansas Family Health Center
- East Arkansas Family Health Center Inc.
- East Poinsett County Schools
- Elite Pain Management, LLC
- Herman E. Hurd, DDS, VIII, PA
- Jones Drug Store
All providers in Lepanto, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.