Provider Demographics
NPI:1447317714
Name:MCFARLIN PHARMACY, INC.
Entity type:Organization
Organization Name:MCFARLIN PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:870-486-5220
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:101 WEST DREW
Mailing Address - City:MONETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 WEST DREW
Practice Address - Street 2:
Practice Address - City:MONETTE
Practice Address - State:AR
Practice Address - Zip Code:72447
Practice Address - Country:US
Practice Address - Phone:870-486-5220
Practice Address - Fax:870-486-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
ARAR203753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR606106409Medicaid
1989519OtherPK
AR152185407Medicaid
AR152185407Medicaid