Organization
STAGECOACH PHARMACY LLC
Active
Other names
STAGECOACH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BARKSDALE (PHARMACIST IN CHARGE)
(501) 455-6295
Entity
Organization
Contact information
Practice address
1 STAGECOACH VLG, STE 2, LITTLE ROCK, AR 72210-4750
(501) 455-6295
(501) 455-1917
Mailing address
1 STAGECOACH VLG, STE 2, LITTLE ROCK, AR 72210-4750
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20598
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423068
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/09/2009
Last updated
02/11/2009
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