| NPI | 1669487294 |
|---|---|
| Doing Business As | ROSE DRUG OF RUSSELLVILLE INC |
| Entity Type | Organization |
| Authorized Contact | RANDY ISSA KASSISSIEH Owner 501-945-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR13916) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-05-09 |