Organization
RX MOOSE INC
Active
Other names
TANGLEWOOD DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WHEELER PHARMD (OWNER)
(501) 664-4444
Entity
Organization
Contact information
Practice address
8201 CANTRELL RD STE 140, LITTLE ROCK, AR 72227-2346
(501) 664-4444
(501) 664-7098
Mailing address
8201 CANTRELL RD STE 140, LITTLE ROCK, AR 72227-2346
(501) 664-4444
(501) 664-7098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR18118
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161521407
—
AR
01
—
1995380
PK
—
Enumeration date
07/30/2006
Last updated
03/05/2026
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