Organization
REED DRUG STORE INC
Active
Other names
diabetes shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A ROSEN PD (PRESIDENT PHARMACIST IN CHARGE)
(870) 534-8351
Entity
Organization
Contact information
Practice address
201 S MAIN ST, PINE BLUFF, AR 71601-4321
(870) 534-8351
(870) 850-6318
Mailing address
201 S MAIN ST, PINE BLUFF, AR 71601-4321
(870) 534-8351
(870) 850-6318
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
04D0983574 CLIA
AR
332B00000X
Durable Medical Equipment & Medical Supplies
100103407
AR
332BC3200X
Customized Equipment (DME)
Primary
140255716
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100-103-407
—
AR
05
—
140255716
—
AR
Enumeration date
09/26/2005
Last updated
04/07/2010
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