Provider Demographics
NPI:1073868063
Name:FINLEY PHARMACY PLLC
Entity Type:Organization
Organization Name:FINLEY PHARMACY PLLC
Other - Org Name:FINLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:501-315-5100
Mailing Address - Street 1:1016 W SOUTH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-4051
Mailing Address - Country:US
Mailing Address - Phone:501-315-5100
Mailing Address - Fax:501-776-1313
Practice Address - Street 1:1016 W SOUTH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4051
Practice Address - Country:US
Practice Address - Phone:501-315-5100
Practice Address - Fax:501-776-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
ARAR206783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2136206OtherPK
0424008OtherNCPDP PROVIDER IDENTIFICATION NUMBER