Organization
PARAGON PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER HOGAN DPH (OPERATIONS MANAGER)
(405) 418-2929
Entity
Organization
Contact information
Practice address
14524 CANTRELL RD STE 100A, LITTLE ROCK, AR 72223-4700
(877) 245-7344
Mailing address
5401 N PORTLAND AVE STE 260, OKLAHOMA CITY, OK 73112-2082
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR20892
AR STATE BOARD OF PHARMACY
AR
Enumeration date
02/22/2018
Last updated
02/04/2019
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