Organization · Type 2 NPI

Rose Drug of Russellville Inc

Community/Retail Pharmacy · Russellville, AR

NPI number 1669487294 Active

Practice location

3103 W Main Pl
Russellville, AR 72801-3360

Fax (479) 968-1557

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	AR13916 (AR)
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

Other community/retail pharmacy providers in Russellville

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NPI record

NPI: 1669487294
Entity type: Organization (Type 2)
Issued: Jul 30, 2006
Last updated: May 9, 2024
Status: Active

Other names

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Rose Drug of Russellville Inc · doing business as
Rose Drug of Russellville Inc · doing business as

Authorized official

Randy Issa Kassissieh, PharmD
Owner
(501) 945-3264

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669487294

Rose Drug of Russellville Inc's National Provider Identifier is 1669487294, issued on Jul 30, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Russellville, AR. The record was last updated on May 9, 2024.