Provider Demographics
NPI:1598096497
Name:STEPHEN L. LAFRANCE PHARMACY INC
Entity Type:Organization
Organization Name:STEPHEN L. LAFRANCE PHARMACY INC
Other - Org Name:ALTERNATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT ALTERNATIVE CARE
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-217-7700
Mailing Address - Street 1:10620 COLONEL GLENN RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-8013
Mailing Address - Country:US
Mailing Address - Phone:501-217-7700
Mailing Address - Fax:501-217-7750
Practice Address - Street 1:10620 COLONEL GLENN RD
Practice Address - Street 2:SUITE 400
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-8013
Practice Address - Country:US
Practice Address - Phone:501-217-7700
Practice Address - Fax:501-217-7750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
ARAR206193336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR180653407Medicaid
FS1795131OtherDEA
0767630009Medicare NSC