Organization
SCPG ARKANSAS LLC
Active
Other names
Express Rx of Pine Bluff
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN PERKINS (CEO)
(870) 850-0159
Entity
Organization
Contact information
Practice address
3006 W 28TH AVE, PINE BLUFF, AR 71603-4803
(870) 850-0159
(870) 850-0177
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-0524
(870) 850-0159
(870) 850-0177
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20725
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0424414
NCPDP
—
05
—
198211407
—
AR
Enumeration date
10/30/2014
Last updated
01/15/2021
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