Pharmacy of Shannon Hills LLC

Organization Active NPI Long Term Care Pharmacy · Mabelvale, AR

NPI 1457055972 · NPPES record last updated Mar 28, 2023

Key facts

NPI
1457055972
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
PHARMACY OF SHANNON HILLS LLC
Practice address
13907 High Rd
Mabelvale, AR 72103-3212
Phone
(501) 451-7715
Fax
(501) 451-7761
NPI assigned
Mar 28, 2023
Organization subpart
No

Authorized official

Name
Callie Bench, PHARMD
Title
Owner
Phone
(501) 451-7715

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Pharmacy of Shannon Hills LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

13907 High Rd
Mabelvale, AR 72103-3212

Mailing address

13907 High Rd
Mabelvale, AR 72103-3212
Phone (501) 451-7715

Other providers in Mabelvale, AR

All providers in Mabelvale, AR · Long Term Care Pharmacy in Arkansas

Sources for this page

Verify at the official NPI Registry.