Organization
CARROUTHRX
Active
Organization
CARROUTHRX
Active
Other names
Mission Filled Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CARROUTH PHARMD (OWNER/PHARMACIST)
(501) 282-9997
Entity
Organization
Contact information
Practice address
250 ADAM BROWN RD STE D, PEARCY, AR 71964-9505
(501) 521-1500
(501) 521-2500
Mailing address
146 CANYON CREEK CT, HOT SPRINGS, AR 71913-8868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266680407
—
AR
Enumeration date
04/22/2021
Last updated
06/16/2021
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