Provider Demographics
NPI:1821477480
Name:HARDING UNIVERSITY
Entity Type:Organization
Organization Name:HARDING UNIVERSITY
Other - Org Name:HUCOP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JEANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-279-5459
Mailing Address - Street 1:915 E MARKET AVE # 12230
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72149-5615
Mailing Address - Country:US
Mailing Address - Phone:501-279-5459
Mailing Address - Fax:501-279-5202
Practice Address - Street 1:903 E PARK AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5622
Practice Address - Country:US
Practice Address - Phone:501-279-5459
Practice Address - Fax:501-279-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR207243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152184OtherPK