Organization
ROSE DRUG OF DOVER, INC
Active
Other names
BERRY DRUG OF DARDANELLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L HARMON P.D. (PHARMACIST/OWNER)
(479) 229-4811
Entity
Organization
Contact information
Practice address
417 UNION ST, DARDANELLE, AR 72834-3429
(479) 228-4811
(479) 229-5871
Mailing address
417 UNION ST, DARDANELLE, AR 72834-3429
(479) 229-4811
(479) 229-5871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421052
NCPDP NUMBER
AR
05
—
139822407
—
AR
01
—
AR20230
RETAIL PHARMACY LICENSE
AR
Enumeration date
08/29/2006
Last updated
04/19/2022
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