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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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