Cornerstone Pharmacy Rose City
LBN: D.L. Baker Drug Co., Inc.
Cornerstone Pharmacy Rose City is an health care organization with primary practice located at 4307 E Broadway St , North Little Rock AR 72117-4124. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
D.L. Baker Drug Co., Inc. can be contacted via phone (501) 945-3264, or through Kassissieh, Randy Issa via phone (501) 945-3264.
Contact Information
Primary practice address
4307 E Broadway St
North Little Rock AR 72117-4124
Phone: (501) 945-3264
Fax: (501) 945-6976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PD06101 | Arkansas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1699789545 |
|---|---|
| LBN Legal business name | D.L. Baker Drug Co., Inc. |
| DBA Doing business as | Cornerstone Pharmacy Rose City |
| Authorized official | Kassissieh, Randy Issa PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jun 23rd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699789545 | NPPES |
| Arkansas | MEDICAID | 100180407 |
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