MEDICARE: ERIC THOMAS POOLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS11731	AR

General Provider Information

NPI Number	:	1831021336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC THOMAS POOLE

Provider Business Mailing Address
First Line	:	355 AUGUSTA DR
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-7682
Country	:	US
Telephone Number	:	870-863-4155
Fax Number	:	870-863-6242

Provider Business Practice Location Address
First Line	:	828 W HILLSBORO ST
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-7047
Country	:	US
Telephone Number	:	870-863-4155
Fax Number	:	870-863-6242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ ERIC THOMAS POOLE ” Practice Location

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