Organization
ROSE DRUG PARIS INC
Active
Other names
ROSE DRUG OF PARIS
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE PARKER (PHARMACY MANAGER)
(479) 963-6400
Entity
Organization
Contact information
Practice address
1211 E WALNUT ST, PARIS, AR 72855-4125
(479) 963-6400
(479) 963-2103
Mailing address
PO BOX 648, PARIS, AR 72855-0648
(479) 963-6400
(479) 963-2103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR13170
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413170
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
10085940
—
AR
Enumeration date
08/10/2006
Last updated
09/28/2011
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