Provider Demographics
NPI:1013959832
Name:EDDINGTON PHARMACEUTICALS INC
Entity Type:Organization
Organization Name:EDDINGTON PHARMACEUTICALS INC
Other - Org Name:MARMADUKE FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:870-597-2911
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:MARMADUKE
Mailing Address - State:AR
Mailing Address - Zip Code:72443-0358
Mailing Address - Country:US
Mailing Address - Phone:870-597-2911
Mailing Address - Fax:
Practice Address - Street 1:11901 HWY 49 N
Practice Address - Street 2:
Practice Address - City:MARMADUKE
Practice Address - State:AR
Practice Address - Zip Code:72443
Practice Address - Country:US
Practice Address - Phone:870-597-2911
Practice Address - Fax:870-597-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
ARAR201643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161974407Medicaid
AR196794716Medicaid
1994559OtherPK
5716940001Medicare NSC