Organization
NEA PHARMACEUTICALS INC
Active
Other names
PARKER ROAD SPECIALITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SOO RPH (OWNER)
(870) 935-6400
Entity
Organization
Contact information
Practice address
1109 W PARKER RD, JONESBORO, AR 72404-9583
(870) 935-6400
(870) 935-4027
Mailing address
1109 W PARKER RD, JONESBORO, AR 72404-9583
(870) 935-6400
(870) 935-4027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR03802
AR
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160546407
—
AR
01
—
1992994
PK
—
Enumeration date
07/26/2006
Last updated
08/21/2023
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