Organization
ROSE DRUG OF RUSSELLVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY ISSA KASSISSIEH PHARMD (OWNER)
(479) 968-1323
Entity
Organization
Contact information
Practice address
3103 W MAIN PL, RUSSELLVILLE, AR 72801-3360
(479) 968-1323
(479) 968-1557
Mailing address
3103 W MAIN PL, RUSSELLVILLE, AR 72801-3360
(479) 968-1323
(479) 968-4988
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
05/09/2024
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