Provider Demographics
NPI:1831327022
Name:UNITED PHARMACY LTD
Entity type:Organization
Organization Name:UNITED PHARMACY LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RINCHUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-588-4175
Mailing Address - Street 1:7481 WARDEN RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-5041
Mailing Address - Country:US
Mailing Address - Phone:501-588-4175
Mailing Address - Fax:501-377-9233
Practice Address - Street 1:7481 WARDEN RD
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-5041
Practice Address - Country:US
Practice Address - Phone:501-588-4175
Practice Address - Fax:501-377-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
ARAR206273336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141475OtherPK