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Organization

NW CABOT LLC

Active
Other names
Express Rx of Cabot
Organization subpart
No

Provider details

NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization

Contact information

Practice address
1848 W MAIN ST STE B, CABOT, AR 72023-2745
(855) 553-9777
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-4407
(501) 534-4459

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
AR20835
AR
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214793407
AR
01
2159242
PK
Enumeration date
03/11/2016
Last updated
11/18/2025
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