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Organization

RPH ON THE GO USA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVETTE SONERA (RECRUITER)
(847) 779-6132
Entity
Organization

Contact information

Practice address
7377 ALCOA RD, TARGET PHARMACY, BRYANT, AR 72022
(501) 776-4361
Mailing address
8001 LINCOLN AVE STE 800, SKOKIE, IL 60077-3657
(800) 553-7359
(847) 588-7060

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PD07355
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PD07355
PHARMACIST LICENSE
AR
Enumeration date
10/02/2014
Last updated
10/02/2014
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