Provider Demographics
NPI:1154725067
Name:HNK PHARM, PLLC
Entity type:Organization
Organization Name:HNK PHARM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATH
Authorized Official - Middle Name:NOLEN
Authorized Official - Last Name:BRANSCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-674-2222
Mailing Address - Street 1:1800 WEST MAIN
Mailing Address - Street 2:
Mailing Address - City:LAVACA
Mailing Address - State:AR
Mailing Address - Zip Code:72941
Mailing Address - Country:US
Mailing Address - Phone:479-674-2222
Mailing Address - Fax:
Practice Address - Street 1:1800 WEST MAIN
Practice Address - Street 2:
Practice Address - City:LAVACA
Practice Address - State:AR
Practice Address - Zip Code:72941
Practice Address - Country:US
Practice Address - Phone:479-674-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy