Pediatric Nutrition Provider of Ar
Pediatric Nutrition Provider of Ar is a Parenteral & Enteral Nutrition Supplies (DME) in Benton, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.
- Licensed in
- AR
- In the registry since
- 2007
Practice location Address checks out
920 Edison Ave Ste #9Benton, AR 72015-4502
Phone: (501) 315-7337
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Parenteral & Enteral Nutrition Supplies (DME) (primary) | Taxonomy 332BP3500X · Licence AR20528 (AR) |
|---|
Record details
| NPI number | 1588873053 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Motto — Co-Owner · (501) 315-7337 |
| Other names | Access Pharmacy |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 920 Edison Ave, Suite #9, Benton, AR 72015-4502 |