Healthcare Provider Details

I. General information

NPI: 1780761056
Provider Name (Legal Business Name): USA DRUG & BEAUTY MARKET FRANCHISING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 E RACE AVE
SEARCY AR
72143-4734
US

IV. Provider business mailing address

1401 S BOULDER AVE STE 300
TULSA OK
74119-3647
US

V. Phone/Fax

Practice location:
  • Phone: 501-278-4500
  • Fax: 501-268-7291
Mailing address:
  • Phone: 918-858-4619
  • Fax: 918-592-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20340
License Number StateAR

VIII. Authorized Official

Name: GALEN PERKINS
Title or Position: VP PHARMACY SERVICES
Credential:
Phone: 501-296-3311