Organization · Type 2 NPI

Pediatric Nutrition Prov of Ar

Long Term Care Pharmacy · Benton, AR

NPI number 1477598795 Active

Practice location

920 Edison Ave, Ste 9
Benton, AR 72015-4502

Call (501) 315-7337 Map

Fax (501) 778-7488

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XAR20528 (AR)
Long Term Care Pharmacy Primary 3336L0003XNone listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Benton

See all in Benton →

About NPI 1477598795

Pediatric Nutrition Prov of Ar's National Provider Identifier is 1477598795, issued on Jun 19, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Benton, AR. The record was last updated on Sep 11, 2025.