Provider Demographics
NPI:1376225326
Name:NEA PHARMACEUTICALS INC
Entity Type:Organization
Organization Name:NEA PHARMACEUTICALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SOO
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:870-935-6400
Mailing Address - Street 1:1109 W PARKER RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9583
Mailing Address - Country:US
Mailing Address - Phone:870-935-6400
Mailing Address - Fax:870-935-4027
Practice Address - Street 1:1109 W PARKER RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9583
Practice Address - Country:US
Practice Address - Phone:870-935-6400
Practice Address - Fax:870-935-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy