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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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