| David Jacob Roark, | |
|
104 W Line Ave, Ruston, LA 71270-5044 | |
| (318) 255-7363 | |
| (318) 255-7365 |
| Full Name | David Jacob Roark |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 104 W Line Ave, Ruston, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679184352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 023778 (Louisiana) | Primary |
| 183500000X | Pharmacist | PN06516 (Arkansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| David Jacob Roark, 2135 N West Ave, El Dorado, AR 71730-3351 Ph: (870) 862-5458 | David Jacob Roark, 104 W Line Ave, Ruston, LA 71270-5044 Ph: (318) 255-7363 |
Jonathon Patterson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Service Rd E, Ruston, LA 71270 Phone: 318-251-0392 | |
Craig Lavespere, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 104 W Line Ave, Ruston, LA 71270 Phone: 318-255-7363 Fax: 318-255-7365 | |
Phil H Waltz Jr., RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 200 N Trenton St, Ruston, LA 71270 Phone: 318-255-0458 Fax: 318-251-3373 | |
Lauren Good, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 109 N Trenton St Ste 2, Ruston, LA 71270 Phone: 318-255-8106 | |
Quintin Good, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 108 W California Ave, Ruston, LA 71270 Phone: 318-255-1811 | |
Steven Parks, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 105 W California Ave, Ruston, LA 71270 Phone: 318-513-1260 Fax: 318-513-1266 | |
Danny Clay, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Service Rd E, Ruston, LA 71270 Phone: 318-251-0392 Fax: 318-251-1161 |