Provider Demographics
NPI:1265427678
Name:JONESBORO PHAMACY SOLUTIONS
Entity type:Organization
Organization Name:JONESBORO PHAMACY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREASA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:870-932-2822
Mailing Address - Street 1:2929 S CARAWAY RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7307
Mailing Address - Country:US
Mailing Address - Phone:870-932-2822
Mailing Address - Fax:870-932-0613
Practice Address - Street 1:2929 S CARAWAY RD
Practice Address - Street 2:SUITE 9
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7307
Practice Address - Country:US
Practice Address - Phone:870-932-2822
Practice Address - Fax:870-932-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR20355333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0421747OtherNCPDP