Organization
MOSS HOLLAND ENTERPRISES LLC
Active
Other names
River Valley Specialty Pharmacy, Moss Holland Enterprises LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLLAND PHARMD (PARTNER)
(803) 447-1959
Entity
Organization
Contact information
Practice address
11621 RAINWOOD RD STE 7, LITTLE ROCK, AR 72212-3947
(501) 222-1002
(501) 222-1807
Mailing address
PO BOX 21294, LITTLE ROCK, AR 72221-1294
(803) 447-1959
(501) 222-1807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245929934
PIC NPI
—
Enumeration date
05/05/2023
Last updated
12/19/2024
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