Healthcare Provider Details

I. General information

NPI: 1780120691
Provider Name (Legal Business Name): RX HOUND INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 MCLAIN ST STE 400
NEWPORT AR
72112
US

IV. Provider business mailing address

1117 MCLAIN ST SUITE 400
NEWPORT AR
72112-3500
US

V. Phone/Fax

Practice location:
  • Phone: 870-523-5555
  • Fax: 870-523-6337
Mailing address:
  • Phone: 870-523-5555
  • Fax: 870-523-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20858
License Number StateAR

VIII. Authorized Official

Name: ERIC SHOFFNER
Title or Position: OWNER/PD
Credential:
Phone: 870-364-5100