Organization
PILL PEDDLER PHARMACY LLC
Active
Other names
The Pill Peddler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RAPERT (PHARMACIST/OWNER)
(870) 838-0777
Entity
Organization
Contact information
Practice address
1740 S US HIGHWAY 61, OSCEOLA, AR 72370-2943
(870) 563-0777
(870) 563-0327
Mailing address
1740 S US HIGHWAY 61, OSCEOLA, AR 72370-2943
(870) 563-0777
(870) 563-0327
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20657
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130814
PK
—
Enumeration date
06/15/2011
Last updated
11/23/2016
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