Organization
D.L. BAKER DRUG CO., INC.
Active
Other names
Cornerstone Pharmacy Rose City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY ISSA KASSISSIEH PHARMD (PHARMACIST/OWNER)
(501) 945-3264
Entity
Organization
Contact information
Practice address
4307 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117-4124
(501) 945-3264
(501) 945-6976
Mailing address
4307 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117-4124
(501) 945-3264
(501) 945-6976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PD06101
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180407
—
AR
Enumeration date
07/28/2006
Last updated
06/23/2022
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