Healthcare Provider Details

I. General information

NPI: 1972051464
Provider Name (Legal Business Name): DON'S PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 W MARKHAM ST STE A
LITTLE ROCK AR
72205-2300
US

IV. Provider business mailing address

8609 W MARKHAM ST STE A
LITTLE ROCK AR
72205-2300
US

V. Phone/Fax

Practice location:
  • Phone: 501-225-2222
  • Fax: 501-225-8683
Mailing address:
  • Phone: 501-225-2222
  • Fax: 501-225-8683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberAR01175
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TONY ROGERS
Title or Position: OWNER
Credential:
Phone: 501-225-2222