Healthcare Provider Details

I. General information

NPI: 1861317737
Provider Name (Legal Business Name): STEPHEN CARROLL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 COLONEL GLENN RD STE 300
LITTLE ROCK AR
72204-8048
US

IV. Provider business mailing address

10620 COLONEL GLENN RD STE 300
LITTLE ROCK AR
72204-8048
US

V. Phone/Fax

Practice location:
  • Phone: 501-217-8880
  • Fax: 501-217-8885
Mailing address:
  • Phone: 501-217-8880
  • Fax: 501-217-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD10157
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: