# RIVER ROAD PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVER ROAD PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700642253
- **Legal business name:** RIVER ROAD PHARMACY
- **Authorized official:** STEPHANIE RAPERT PHARM.D. (PHARMACIST)
- **Authorized official phone:** (870) 838-5750

## Contact information

- **Practice address:** 1741 HWY 61 SOUTH, OSCEOLA, AR 72370
- **Practice address phone:** (870) 563-0777
- **Practice address fax:** (870) 563-0327
- **Mailing address:** 1741 HWY 61 SOUTH, OSCEOLA, AR 72370
- **Mailing address phone:** (870) 563-0777
- **Mailing address fax:** (870) 563-0327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 12/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 305629407 | — | AR |