Provider Demographics
NPI:1851480537
Name:HAM'S DRUGS & GIFTS, INC.
Entity Type:Organization
Organization Name:HAM'S DRUGS & GIFTS, INC.
Other - Org Name:PEOPLES DRUG AND GIFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COPIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-904-0232
Mailing Address - Street 1:237 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STAMPS
Mailing Address - State:AR
Mailing Address - Zip Code:71860-2827
Mailing Address - Country:US
Mailing Address - Phone:870-533-4311
Mailing Address - Fax:870-533-2731
Practice Address - Street 1:237 MAIN ST
Practice Address - Street 2:
Practice Address - City:STAMPS
Practice Address - State:AR
Practice Address - Zip Code:71860-2827
Practice Address - Country:US
Practice Address - Phone:870-533-4311
Practice Address - Fax:870-533-2731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR203213336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1993565OtherPK
AR146122407Medicaid