Stagecoach Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Little Rock, AR
NPI 1760629984 · NPPES record last updated Feb 11, 2009
Key facts
- NPI
- 1760629984
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR20598 (AR)
- Legal business name
- STAGECOACH PHARMACY LLC
- Practice address
- 1 Stagecoach VLG
Ste 2
Little Rock, AR 72210-4750 - Phone
- (501) 455-6295
- Fax
- (501) 455-1917
- NPI assigned
- Jan 9, 2009
- Organization subpart
- No
Authorized official
- Name
- John Barksdale
- Title
- Pharmacist in Charge
- Phone
- (501) 455-6295
National Provider Directory
Locations
1 Stagecoach Vlg
Ste 2
Little Rock, AR 72210
Phone (501) 455-6295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | AR20598 | AR | Yes |
Addresses
Primary practice location
1 Stagecoach VLG
Ste 2
Little Rock, AR 72210-4750
Mailing address
1 Stagecoach VLG
Ste 2
Little Rock, AR 72210-4750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423068 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- STAGECOACH PHARMACY
Other providers in Little Rock, AR
- Matthew Stacy
- Anita Kay Stafford
- Anne Elizabeth Stafford
- Gregory L Stafford
- Patrick K Stage
- Andrea Stagger
- Brent Christopher Staggs
- Mary E Staggs
- Michelle D Staggs
- Ann Marie Stahl
All providers in Little Rock, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.