Organization · Type 2 NPI

PPG Store 3, LLC

Community/Retail Pharmacy · Little Rock, AR

NPI number 1669835484 Active

Practice location

11414 W Markham Street
Little Rock, AR 72703

Fax (501) 904-4298

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	AR20840 (AR)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1669835484
Entity type: Organization (Type 2)
Issued: Mar 30, 2016
Last updated: Jul 21, 2022
Status: Active

Other names

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Cornerstone Pharmacy Markham · doing business as
Heartland Pharmacy Markham · doing business as

Authorized official

Zach Holderfield, PharmD
Owner, Ao
(870) 814-0605

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669835484

PPG Store 3, LLC's National Provider Identifier is 1669835484, issued on Mar 30, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Little Rock, AR. The record was last updated on Jul 21, 2022.