Organization
DRUG ROOM INC
Active
Organization
DRUG ROOM INC
Active
Other names
DRUG ROOM INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STOVER PD (PHARM AND OWNER)
(870) 536-3980
Entity
Organization
Contact information
Practice address
1700 W 42ND AVE, PINE BLUFF, AR 71603-7008
(870) 536-3980
(870) 536-1953
Mailing address
1700 W 42ND AVE, PINE BLUFF, AR 71603-7008
(870) 536-3980
(870) 536-1953
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR18714
AR
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127289407
—
AR
01
—
1995507
PK
—
Enumeration date
02/27/2007
Last updated
08/17/2021
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