Provider Demographics
NPI:1891789715
Name:RHEA DRUG STORE, INC
Entity Type:Organization
Organization Name:RHEA DRUG STORE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:501-663-4131
Mailing Address - Street 1:2801 KAVANAUGH BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3849
Mailing Address - Country:US
Mailing Address - Phone:501-663-4131
Mailing Address - Fax:501-663-6202
Practice Address - Street 1:2801 KAVANAUGH BLVD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3849
Practice Address - Country:US
Practice Address - Phone:501-663-4131
Practice Address - Fax:501-663-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR13687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty