<Unavail>

LBN: Soos Drug Inc
<Unavail> is an health care organization with primary practice located at 2822 E Nettleton Ave , Jonesboro AR 72401-4531. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Soos Drug Inc can be contacted via phone (870) 932-6930, or through Soo, Tyler Alan via phone (870) 932-6930.

Contact Information

Primary practice address
2822 E Nettleton Ave Jonesboro AR 72401-4531
Phone: (870) 932-6930
Fax: (870) 932-1378
Website:
Map and Directions
Authorized official contact:
Name: Soo, Tyler Alan PHARMD
Phone: (870) 932-6930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20121 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1497755946
LBN Legal business name Soos Drug Inc
DBA Doing business as <Unavail>
Authorized official Soo, Tyler Alan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2005
Last updated Mar 2nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497755946 NPPES
Arkansas MEDICAID 133719407
Arkansas Other 1992995

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