Organization
SOOS COMPOUNDING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAEL ALAN SOO PD (PHARMICIST/OWNER)
(870) 268-0842
Entity
Organization
Contact information
Practice address
512 SOUTHWEST DR, JONESBORO, AR 72401-5857
(870) 268-0842
(870) 935-4027
Mailing address
512 SOUTHWEST DR, JONESBORO, AR 72401-5857
(870) 268-0842
(870) 935-4027
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
AR20259
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49795
BLUE CROSS BLUE SHEILD ID
AR
Enumeration date
07/26/2006
Last updated
08/22/2020
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