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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