Provider Demographics
NPI:1518048164
Name:SAV-ON DRUGS OF ARKANSAS, INC.
Entity Type:Organization
Organization Name:SAV-ON DRUGS OF ARKANSAS, INC.
Other - Org Name:SAV-ON DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:501-327-6777
Mailing Address - Street 1:1014 HARKRIDER ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-4404
Mailing Address - Country:US
Mailing Address - Phone:501-327-6777
Mailing Address - Fax:501-327-8939
Practice Address - Street 1:1014 HARKRIDER ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4404
Practice Address - Country:US
Practice Address - Phone:501-327-6777
Practice Address - Fax:501-327-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR0086933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARC08480131OtherEDI SUBMITTER ID
AR100648407Medicaid
AR1172480001Medicare NSC