Organization
SCPG ARKANSAS LLC
Active
Other names
Express Rx of Prescott
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN PERKINS (CEO)
(501) 258-4399
Entity
Organization
Contact information
Practice address
1430 W 1ST ST N, PRESCOTT, AR 71857-3339
(870) 887-6664
(870) 887-2968
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203
(870) 887-6664
(870) 887-2968
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR09412
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0409412
NCPDP
AR
05
—
100616407
—
AR
Enumeration date
10/30/2014
Last updated
01/15/2021
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