Provider Demographics
NPI:1467916825
Name:THEPHARMACY LLC
Entity Type:Organization
Organization Name:THEPHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:501-708-4320
Mailing Address - Street 1:15400 CHENAL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2297
Mailing Address - Country:US
Mailing Address - Phone:501-708-4320
Mailing Address - Fax:501-708-4315
Practice Address - Street 1:15400 CHENAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2297
Practice Address - Country:US
Practice Address - Phone:501-708-4320
Practice Address - Fax:501-708-4315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR209715407Medicaid