Organization
RIVER VALLEY COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN BROOKE DENTON PHARM.D. (PHARMACIST)
(870) 678-3004
Entity
Organization
Contact information
Practice address
615 N PLAZA CT, SUITE A, VAN BUREN, AR 72956-2600
(479) 420-4428
Mailing address
615 NORTH PLAZA DRIVE, SUITE A, VAN BUREN, AR 72956
(479) 420-4428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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