Organization
ROTHROCK DRUG COMPANY INC
Active
Organization
ROTHROCK DRUG COMPANY INC
Active
Other names
ROTHROCK DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ROTHROCK PD (PHRM OWNER)
(870) 763-4451
Entity
Organization
Contact information
Practice address
700 N 6TH ST, BLYTHEVILLE, AR 72315-2412
(870) 763-4451
(870) 838-1821
Mailing address
PO BOX 424, BLYTHEVILLE, AR 72316-0424
(870) 763-4451
(870) 838-1821
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR00793
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100451407
—
AR
01
—
1992798
PK
—
Enumeration date
06/30/2005
Last updated
12/03/2015
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