Provider Demographics
NPI:1174299309
Name:MCFARLIN PHARMACY, INC.
Entity Type:Organization
Organization Name:MCFARLIN PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCFARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-486-5220
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:
Mailing Address - City:MONETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72447-0148
Mailing Address - Country:US
Mailing Address - Phone:870-486-5220
Mailing Address - Fax:870-486-5221
Practice Address - Street 1:101 W DREW AVE
Practice Address - Street 2:
Practice Address - City:MONETTE
Practice Address - State:AR
Practice Address - Zip Code:72447-8004
Practice Address - Country:US
Practice Address - Phone:870-486-5220
Practice Address - Fax:870-486-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR152185407Medicaid