DUVALL ENTERPRISES INC NPI 1063410223

NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Adm sarscov2 50 mcg/.5 mlbst (HCPCS:0094A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

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:

Other Identifiers

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