Provider Demographics
NPI:1447021019
Name:HARVEY PHARMACY LLC
Entity type:Organization
Organization Name:HARVEY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-356-2288
Mailing Address - Street 1:PO BOX 2142
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:71943-2142
Mailing Address - Country:US
Mailing Address - Phone:870-356-2288
Mailing Address - Fax:870-356-2278
Practice Address - Street 1:408 N 1ST ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:AR
Practice Address - Zip Code:71943-9250
Practice Address - Country:US
Practice Address - Phone:870-356-2288
Practice Address - Fax:870-356-2278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy