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ROSE DRUG OF DOVER INC NPI 1376647594


NPI Information

NPI: 1376647594
Provider Name: ROSE DRUG OF DOVER, INC

Doing Business As: BERRY DRUG OF DARDANELLE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
417 UNION ST
DARDANELLE, AR
ZIP 72834
Phone: (479) 229-4811
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ROSE DRUG OF DOVER, INC is a durable medical equipment medical supplies in Dardanelle, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ROSE DRUG OF DOVER, INC NPI is 1376647594. The provider is registered as an organization entity type.
The provider Is Doing Business As Berry Drug Of Dardanelle.

The provider's business location address is:

417 UNION ST
DARDANELLE, AR
ZIP 72834-429
Phone: (479) 229-4811
Fax: (479) 229-5871

The provider's authorized official is Richard L Harmon .
The authorized official title is Pharmacist/owner and has the following contact phone number (479) 229-4811.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 4/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesAR20230ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1148363716MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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