Provider Demographics
NPI:1629755988
Name:RIVER BEND PHARMACY GROUP LLC
Entity Type:Organization
Organization Name:RIVER BEND PHARMACY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:PEYTON
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:870-256-4317
Mailing Address - Street 1:105 BARTLETT RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-8653
Mailing Address - Country:US
Mailing Address - Phone:870-256-4317
Mailing Address - Fax:870-256-3387
Practice Address - Street 1:313 MAIN ST
Practice Address - Street 2:
Practice Address - City:DES ARC
Practice Address - State:AR
Practice Address - Zip Code:72040-7905
Practice Address - Country:US
Practice Address - Phone:870-256-4317
Practice Address - Fax:870-256-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy