Provider Demographics
NPI:1114291507
Name:ARKANSAS FAMILY PHARMACIES INC.
Entity Type:Organization
Organization Name:ARKANSAS FAMILY PHARMACIES INC.
Other - Org Name:PARIS FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:479-774-5921
Mailing Address - Street 1:1211 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:AR
Mailing Address - Zip Code:72855-4125
Mailing Address - Country:US
Mailing Address - Phone:479-963-6400
Mailing Address - Fax:479-963-2103
Practice Address - Street 1:1211 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-4125
Practice Address - Country:US
Practice Address - Phone:479-963-6400
Practice Address - Fax:479-963-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy