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Organization
SOUTH ARKANSAS OIL CO
Active
Organization
SOUTH ARKANSAS OIL CO
Active
Other names
MIDSOUTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN HARPER RPH (PIC)
(870) 864-0730
Entity
Organization
Contact information
Practice address
2710 N WEST AVE, EL DORADO, AR 71730-3124
(870) 864-0730
(870) 864-0522
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(870) 864-0730
(870) 864-0522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
AR20347
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269221
—
AR
05
—
179135407
—
AR
01
—
1989425
PK
—
Enumeration date
06/20/2006
Last updated
12/01/2016
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