Provider Demographics
NPI:1730194341
Name:BARLOW PHARMACIES INC
Entity type:Organization
Organization Name:BARLOW PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-474-3466
Mailing Address - Street 1:PO BOX 6877
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-0841
Mailing Address - Country:US
Mailing Address - Phone:479-474-7171
Mailing Address - Fax:479-474-3131
Practice Address - Street 1:1515 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-2246
Practice Address - Country:US
Practice Address - Phone:479-474-7171
Practice Address - Fax:479-474-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 332B00000X, 3336L0003X, 3336C0003X
ARAR177243336C0003X, 3336C0003X
AR3336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160511716Medicaid
AR158492407Medicaid
OK200077200-AMedicaid
1995272OtherPK
AR160511716Medicaid
AR160511716Medicare PIN
OK200077200AMedicaid
AR158492407Medicaid
OK200077200AMedicare PIN
AR158792407Medicaid