Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRIC NUTRITION PROV OF AR
Active OrganizationPEDIATRIC NUTRITION PROV OF AR is a Retail Pharmacy organization located in BENTON, Arkansas. NPI 1477598795 is currently active in the NPPES registry. Verify at CMS.
Retail Pharmacy · BENTON, AR
Registration Details
- NPI Number
- 1477598795
- Provider Type
- Organization
- NPI Issued
- Jun 19, 2006 (20.168526866234 yrs)
- Last Updated
- Sep 11, 2025
- License
-
AR20528 (AR)
Practice Information
- Address
-
920 EDISON AVESTE 9BENTON, AR, 720154502Browse AR providers · Browse ZIP 72015
- Phone
- 5013157337
- Fax
- 5017787488
- Primary Specialty
-
Retail Pharmacy
3336L0003X
- Additional Specialty
- Retail Pharmacy
Other Retail Pharmacy Organizations in BENTON, AR
| Name | NPI |
|---|---|
| WEST SIDE PHARMACY, INC. | 1750399515 |
| BIRCH TREE COMMUNITIES, INC. | 1205126539 |
| WEST SIDE PHARMACY INC. | 1144870957 |
| FINLEY PHARMACY PLLC | 1255023404 |
| WEST SIDE PHARMACY- MILITARY ROAD LLC | 1861297897 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.