Provider Demographics
NPI:1467164731
Name:PHARMACY ACQUISITIONS GROUP LLC
Entity Type:Organization
Organization Name:PHARMACY ACQUISITIONS GROUP LLC
Other - Org Name:FOOD GIANT DISCOUNT PHARMACY LONG-TERM CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:A (TONY)
Authorized Official - Last Name:BARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-972-8310
Mailing Address - Street 1:605 N ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:AR
Mailing Address - Zip Code:72432-1249
Mailing Address - Country:US
Mailing Address - Phone:870-578-5200
Mailing Address - Fax:
Practice Address - Street 1:605 N ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:AR
Practice Address - Zip Code:72432-1249
Practice Address - Country:US
Practice Address - Phone:870-578-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy