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SOUTHSIDE SPECIALTY PHARMACY
NPI 1194186056
Pharmacy - Clinic Pharmacy in Fort Smith, AR

Active since March 18, 2016
3416 OLD GREENWOOD RD STE A, FORT SMITH, AR 72903(479) 242-2888(479) 242-2889 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southside Specialty Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE SPECIALTY PHARMACY (NPI 1194186056) is a healthcare organization registered as a clinic pharmacy in Fort Smith, Arkansas and active in the NPI registry since March 2016. The organization lists Ihab Herraka, President, as its authorized official.

NPPES Registry Identity

NPI1194186056
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameARKANSAS LIVER AND GASTROENTEROLOGY, PA
Location Address3416 OLD GREENWOOD RD STE AFort Smith, AR 72903-5462
Mailing Address3416 Old Greenwood Rd Ste AFort Smith, AR 72903-5462 · (479) 242-2888 · Fax (479) 242-2889
Phone(479) 242-2888
Fax(479) 242-2889
Organization SubpartNo
Authorized OfficialIhab HerrakaPresident · (479) 242-2888
Enumeration DateMarch 18, 2016
✔ NPI 1194186056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in AR · AR20829
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License AR20829 (AR)
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License AR20829 (AR)
3416 OLD GREENWOOD RD STE A, Fort Smith, AR 72903
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Other Names 1

Doing Business AsSouthside Specialty Pharmacy

Frequently Asked Questions

What is ARKANSAS LIVER AND GASTROENTEROLOGY, PA's NPI number?

The NPI number assigned to this healthcare provider is 1194186056, enumerated as an "organization" on March 18, 2016.

Where is the provider located?

The provider is located at 3416 OLD GREENWOOD RD STE A FORT SMITH, AR 72903 and the phone number is (479) 242-2888.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.