NPI | 1619991767 |
---|---|
Doing Business As | PARKER ROAD SPECIALITY PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL A SOO Owner 870-935-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR03802) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0002X Pharmacy Clinic Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
3336L0003X Pharmacy Long Term Care Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-08-21 |