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Contact Information

RANDALL K BURGE, RPH
343 AMY RD
POCAHONTAS, AR72455-1292
 Phone: 870-378-7802
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for RANDALL K BURGE · (Male)

NPI Number 1134861677
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 04/13/2022
Last updated 04/13/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PD07553
  • MO License # 042420
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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