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DUVALL ENTERPRISES INC NPI 1063410223


NPI Information

NPI: 1063410223
Provider Name: DUVALL ENTERPRISES INC

Doing Business As: ROSE DRUG OF DARDANELLE, INC.

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 04D2269189

Address:
1176 STATE HIGHWAY 22 W STE A
DARDANELLE, AR
ZIP 72834
Phone: (479) 229-4040
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DUVALL ENTERPRISES INC is a pharmacy in Dardanelle, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DUVALL ENTERPRISES INC NPI is 1063410223. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose Drug Of Dardanelle, Inc..

The provider's business location address is:

1176 STATE HIGHWAY 22 W STE A
DARDANELLE, AR
ZIP 72834-006
Phone: (479) 229-4040
Fax: (479) 229-4049

The provider's authorized official is Marsha Lee Paschal Duvall .
The authorized official title is President/pharmacist and has the following contact phone number (479) 229-4040.

The CLIA number assigned to this NPI record is 04D2269189 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 2/3/2021.


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
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyAR02329ARKANSASYes

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
1191167407MEDICAIDARKANSAS

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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