Individual provider · Type 1 NPI

David Jacob Roark

Pharmacist · Ruston, LA

NPI number 1679184352 Active

Practice location

104 W Line Ave
Ruston, LA 71270-5044

Fax (318) 255-7365

Mailing address

2135 N West Ave
El Dorado, AR 71730-3351

Other practice locations

  • 2135 N West Ave, El Dorado, AR 71730-3351 · (870) 862-5458

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X023778 (LA)
Pharmacist 183500000XPN06516 (AR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

5 other providers at this address

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About NPI 1679184352

David Jacob Roark's National Provider Identifier is 1679184352, issued on Aug 14, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ruston, LA. The record was last updated on Sep 29, 2026.