Organization
ROACH ENTERPRISES INC
Active
Other names
Family Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNI ROACH B.S. PHARMACY (PRESIDENT)
(870) 358-2484
Entity
Organization
Contact information
Practice address
98 HIGHWAY 63B STE A, SUITE A, MARKED TREE, AR 72365-1614
(870) 358-2484
(870) 358-6337
Mailing address
98 HIGHWAY 63B STE A, SUITE A, MARKED TREE, AR 72365-1614
(870) 358-2484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20314
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145129407
—
AR
05
—
146998716
—
AR
01
—
1995153
PK
—
Enumeration date
11/15/2006
Last updated
09/19/2025
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