Organization
ST. FRANCIS DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY KASSISSIEH PHARMD (OWNER)
(501) 772-1123
Entity
Organization
Contact information
Practice address
1132 N WASHINGTON ST, FORREST CITY, AR 72335-2158
(870) 594-0760
(870) 594-0795
Mailing address
PO BOX 26690, LITTLE ROCK, AR 72221-6621
(870) 594-0760
(870) 594-0795
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266553407
—
AR
Enumeration date
05/11/2021
Last updated
06/18/2021
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