Organization
D.L. BAKER DRUG CO., INC.
Active
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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