NPI Database
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Contact Information

ROSE DRUG OF DANVILLE INC
708 E 8TH STREET
DANVILLE, AR72833
 Phone: 479-495-7673
 Fax: 479-495-7679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ROSE DRUG OF DANVILLE INC

NPI # 1750542221
LBN Legal business name ROSE DRUG OF DANVILLE INC
Authorized official VANCE PARKER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2008
Last updated 04/23/2012 - About 14 years ago
Identifiers
AR License # AR20583
AR Medicaid 168234407
Other 0422890 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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