Provider Demographics
NPI:1164588380
Name:HEALTH WAY OF BEEBE INC
Entity Type:Organization
Organization Name:HEALTH WAY OF BEEBE INC
Other - Org Name:HEALTH-WAY SAVE-ON DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BLENDA
Authorized Official - Middle Name:PAULETTE
Authorized Official - Last Name:MCVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:501-882-6471
Mailing Address - Street 1:1903 W DEWITT HENRY DR
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-2028
Mailing Address - Country:US
Mailing Address - Phone:501-882-6471
Mailing Address - Fax:501-882-7149
Practice Address - Street 1:1903 W DEWITT HENRY DR
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-2028
Practice Address - Country:US
Practice Address - Phone:501-882-6471
Practice Address - Fax:501-882-7149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
ARAR146653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR112005716Medicaid
AR0414665OtherCAREMARK
AR111939407Medicaid
AR111939407Medicaid