Organization
NW OTTER CREEK LLC
Active
Organization
NW OTTER CREEK LLC
Active
Other names
Express Rx at Otter Creek
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
10100 STAGECOACH RD, LITTLE ROCK, AR 72210-5742
(501) 455-2522
Mailing address
PO BOX 7791, LITTLE ROCK, AR 72217-7791
(855) 553-9777
(501) 246-3842
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221379407
—
AR
Enumeration date
04/04/2017
Last updated
11/18/2025
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