Organization
SOUTH ARKANSAS OIL CO
Active
Other names
MIDSOUTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN HARPER RPH (PIC)
(870) 864-0730
Entity
Organization
Contact information
Practice address
2710 N WEST AVE, EL DORADO, AR 71730-3124
(870) 864-0730
(870) 864-0522
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(870) 864-0730
(870) 864-0522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
AR20347
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269221
—
AR
05
—
179135407
—
AR
01
—
1989425
PK
—
Enumeration date
06/20/2006
Last updated
12/01/2016
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