Organization
MAUMELLE FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY KASSISSIEH PHARMD (OWNER)
(501) 851-4949
Entity
Organization
Contact information
Practice address
1701 CLUB MANOR DR, MAUMELLE, AR 72113-7401
(501) 851-4949
Mailing address
1701 CLUB MANOR DR, MAUMELLE, AR 72113-7401
(501) 851-4949
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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