Rose Drug Of Russellville Inc
LBN: Rose Drug Of Russellville Inc
Rose Drug Of Russellville Inc is an health care organization with primary practice located at 3103 W Main Pl , Russellville AR 72801-3360. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Rose Drug Of Russellville Inc can be contacted via phone (479) 968-1323, or through Kassissieh, Randy Issa via phone (501) 945-3264.
Contact Information
Primary practice address
3103 W Main Pl
Russellville AR 72801-3360
Phone: (479) 968-1323
Fax: (479) 968-1557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR13916 | Arkansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1669487294 |
|---|---|
| LBN Legal business name | Rose Drug Of Russellville Inc |
| DBA Doing business as | Rose Drug Of Russellville Inc |
| Authorized official | Kassissieh, Randy Issa PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | May 9th, 2024 - about 6 months 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 | 1669487294 | NPPES |
| Arkansas | MEDICAID | 110271407 | |
| Arkansas | Other | 1994537 |
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