Provider Demographics
NPI:1710040506
Name:NEAT RX INC
Entity Type:Organization
Organization Name:NEAT RX INC
Other - Org Name:M&S CLINIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER /PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-836-9303
Mailing Address - Street 1:415 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-4615
Mailing Address - Country:US
Mailing Address - Phone:870-836-2212
Mailing Address - Fax:870-836-6818
Practice Address - Street 1:415 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-4615
Practice Address - Country:US
Practice Address - Phone:870-836-2212
Practice Address - Fax:870-836-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
ARAR135983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2144207OtherPK