Organization
ROACH ENTERPRISES INC
Active
Other names
John & Frank Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNI J ROACH PD (PRESIDENT)
(870) 358-2484
Entity
Organization
Contact information
Practice address
50 FRISCO ST, MARKED TREE, AR 72365-2214
(870) 358-2484
Mailing address
50 FRISCO ST, MARKED TREE, AR 72365-2214
(870) 358-2484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146998716
—
AR
Enumeration date
03/22/2012
Last updated
03/22/2012
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