NPI

Ppg Store 1 LLC

Doing business as Heartland Pharmacy Mansfield. NPI 1538527569

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2016-02-04
Last updated
2026-06-29

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Specialties

Licenses

License AR
AR20830

Location

Practice location
607 Highway 71 E Ste B
City
Mansfield AR
Postal code
72944-3709
Phone
(479) 269-6161

Organization contact

Name
Zach Holderfield
Title
Partner, Rph, AO
Phone
(870) 814-0605

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mansfield, AR. 26 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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