Organization
PARAGOULD PHARMACY INC
Active
Organization
PARAGOULD PHARMACY INC
Active
Other names
PARAGOULD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD REGISTER RPH (OWNER PHARMACIST)
(871) 215-2522
Entity
Organization
Contact information
Practice address
2700 W KINGSHIGHWAY, STE 3, PARAGOULD, AR 72450-2601
(870) 215-5255
(870) 215-5257
Mailing address
2700 W KINGSHIGHWAY, STE 3, PARAGOULD, AR 72450-2601
(870) 215-5255
(870) 215-5257
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20372
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421913
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
150820407
—
AR
05
—
606130300
—
MO
Enumeration date
09/21/2006
Last updated
10/09/2009
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