Organization
FLIPPO PRESCRIPTION HOUSE INC.
Active
Other names
THE PRESCRIPTION HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE DITTO (PRESIDENT)
(870) 886-5200
Entity
Organization
Contact information
Practice address
1045 W MAIN ST, STE B, WALNUT RIDGE, AR 72476-1004
(870) 886-5200
(870) 886-7553
Mailing address
PO BOX 550, WALNUT RIDGE, AR 72476-0550
(870) 886-5200
(870) 886-7553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20135
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162610716
—
AR
01
—
1993608
PK
—
Enumeration date
08/16/2006
Last updated
11/07/2014
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