Provider Demographics
NPI:1386293041
Name:BRINKLEY FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:BRINKLEY FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/PIC
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:RENELL
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-830-7768
Mailing Address - Street 1:249 CARLA DR
Mailing Address - Street 2:
Mailing Address - City:CLARENDON
Mailing Address - State:AR
Mailing Address - Zip Code:72029-2503
Mailing Address - Country:US
Mailing Address - Phone:870-319-1001
Mailing Address - Fax:870-319-1002
Practice Address - Street 1:1415 PINECREST SUITE 8
Practice Address - Street 2:
Practice Address - City:BRINKLEY
Practice Address - State:AR
Practice Address - Zip Code:72021
Practice Address - Country:US
Practice Address - Phone:870-830-7768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy