Organization
SCPG ARKANSAS LLC
Active
Other names
Express Rx of Prescott
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
1430 WEST 1ST STREET, PRESCOTT, AR 71857
(870) 887-6664
(870) 887-2968
Mailing address
PO BOX 34407 PMB 53760, LITTLE ROCK, AR 72203-4420
(501) 603-7409
(870) 246-6616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR09412
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100616407
—
AR
01
—
1994027
PK
—
Enumeration date
11/08/2006
Last updated
11/18/2025
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