Provider Demographics
NPI:1588862080
Name:LAWS DRUG CO INC
Entity type:Organization
Organization Name:LAWS DRUG CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KORKAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:479-452-6116
Mailing Address - Street 1:6802 ROGERS AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4068
Mailing Address - Country:US
Mailing Address - Phone:479-452-6116
Mailing Address - Fax:479-484-7409
Practice Address - Street 1:6802 ROGERS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4068
Practice Address - Country:US
Practice Address - Phone:479-452-6116
Practice Address - Fax:479-484-7409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146254716Medicaid
AR0900760001Medicare NSC