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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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