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Organization

JBR ENTERPRISES INC

Active
Other names
ROLAND'S DRUG STORE
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ROLAND (MGR)
(501) 889-5111
Entity
Organization

Contact information

Practice address
112 HOUSTON AVE, PERRYVILLE, AR 72126-9451
(501) 889-5111
(501) 889-5544
Mailing address
PO BOX 435, PERRYVILLE, AR 72126-0435
(501) 889-5111
(501) 889-5544

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
AR20217
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140104407
AR
01
1992810
PK
Enumeration date
08/18/2006
Last updated
01/17/2017
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