Whalio Doctors

NPI 1053308940

Park West Pharmacy

Organisation Pharmacy Little Rock, AR

Practice location

Address
904 Autumn Rd Suite 275, Little Rock, AR 72211-3702
Phone
(501) 224-3499
Fax
(501) 224-1140

Authorised official

Name
Bill Bloodworth
Title
Pharmacy Owner
Phone
(501) 224-3499

Registered specialties

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence 69175 (AR)

Registry record

NPI
1053308940
Entity type
Organization
NPI issued
5 Oct 2005
Record last updated
12 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.