| Organization Name: | RAGAN REXALL DRUG |
| NPI Number: | 1356450100 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | R NORRIS RAGAN (PHARMACIST OWNER) |
| Mailing Address: | 309 S Main Stuttgart |
| State: | AR US |
| Postal Code: | 721604356 |
| Phone Number: | 8706732741 |
| Fax Number: | 8706733016 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | L0239 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AR |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |