Organization
ROSE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHARLES ROSE JR. PHARM.D (RPH/OWNER)
(870) 740-7479
Entity
Organization
Contact information
Practice address
1003 N 6TH ST, BLYTHEVILLE, AR 72315-1707
(870) 740-7479
Mailing address
1901 EASTGATE ST, BLYTHEVILLE, AR 72315-1208
(870) 740-7479
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PD12030
AR
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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