Provider Demographics
NPI:1811034374
Name:ECONOMY DRUGS OF HUNTSVILLE INC
Entity Type:Organization
Organization Name:ECONOMY DRUGS OF HUNTSVILLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAY-WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-738-2343
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72740-0157
Mailing Address - Country:US
Mailing Address - Phone:479-738-2620
Mailing Address - Fax:479-738-6971
Practice Address - Street 1:601 N GASKILL ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72740-6001
Practice Address - Country:US
Practice Address - Phone:479-738-2620
Practice Address - Fax:479-738-6971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR145643716Medicaid
4294950001Medicare NSC