Imboden Medical Pharmacy Inc
Organization Active NPI Pharmacist · Imboden, AR
NPI 1528058112 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1528058112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 6091 (AR)
- Legal business name
- IMBODEN MEDICAL PHARMACY INC
- Practice address
- 203 Walnut St
Imboden, AR 72434 - Phone
- (870) 869-2046
- Fax
- (870) 869-3302
- NPI assigned
- Oct 25, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Gevan D Murphy, PP
- Title
- Pharmacist Manager Owner
- Phone
- (870) 869-2046
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 6091 | AR | Yes |
Addresses
Primary practice location
203 Walnut St
Imboden, AR 72434
Mailing address
203 Walnut St
Imboden, AR 72434
Phone (870) 869-2046
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410047 | Other | NABPH |
Other providers in Imboden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.