Soo'S Drug Store
LBN: Soos Drug Inc
Soo'S Drug Store is an health care organization with primary practice located at 2822 E Nettleton Ave , Jonesboro AR 72401-4531. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Soos Drug Inc can be contacted via phone (870) 932-6930, or through Soo, Tyler Alan via phone (870) 932-6930.
Contact Information
Primary practice address
2822 E Nettleton Ave
Jonesboro AR 72401-4531
Phone: (870) 932-6930
Fax: (870) 932-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR20121 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1497755946 |
|---|---|
| LBN Legal business name | Soos Drug Inc |
| DBA Doing business as | Soo'S Drug Store |
| Authorized official | Soo, Tyler Alan PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Mar 2nd, 2021 - about 3 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 | 1497755946 | NPPES |
| Arkansas | MEDICAID | 133719407 | |
| Arkansas | Other | 1992995 |
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