NPI
Arkansas Liver and Gastroenterology
Doing business as Southside Specialty Pharmacy. NPI 1205296043
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2016-03-04
- Last updated
- 2016-03-04
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Specialties
Licenses
- License AR
- AR20829
Location
- Practice location
- 3416 Old Greenwood Rd, Suite A
- City
- Fort Smith AR
- Postal code
- 72903-5462
- Phone
- (479) 242-2894
Organization contact
- Name
- Ihab Herraka
- Title
- Owner
- Phone
- (472) 242-2894
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fort Smith, AR. 3,820 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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