Organization
SOOS DRUG INC
Active
Other names
SOO'S DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER ALAN SOO PHARMD (OWNER/PHARMACIST)
(870) 932-6930
Entity
Organization
Contact information
Practice address
2822 E NETTLETON AVE, JONESBORO, AR 72401-4531
(870) 932-6930
(870) 932-1378
Mailing address
2822 E NETTLETON AVE, JONESBORO, AR 72401-4531
(870) 932-6930
(870) 932-1378
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20121
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133719407
—
AR
01
—
1992995
PK
—
Enumeration date
07/27/2005
Last updated
03/02/2021
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