Rose Drug Of Russellville, Inc
Durable Medical Equipment & Medical Supplies
3103 W Main Pl, Russellville
Arkansas, 72801-3360
479-968-1050 479-968-1557
Rose Drug Of Russellville, Inc is not a DME supplier for medicare equipment and products.Rose Drug Of Russellville, Inc is a Durable Medical Equipment & Medical Supplies in Russellville, Arkansas. It is located at 3103 W Main Pl, Russellville and it's customer support contact number is 479-968-1050. The authorized person of Rose Drug Of Russellville, Inc is Randy Issa Kassissieh who is Owner of this DME and his contact number is 501-945-3264. Active license number of Rose Drug Of Russellville, Inc is 0413916 for Durable Medical Equipment & Medical Supplies in Arkansas.
Rose Drug Of Russellville, Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Rose Drug Of Russellville, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Rose Drug Of Russellville, Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 3103 W Main Pl, Russellville, Arkansas, 72801-3360 |
| Phone: | 479-968-1050 |
| Fax: | 479-968-1557 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Randy Issa Kassissieh |
| Position: | Owner |
| Contact Number: | 501-945-3264 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1952317422 |
| NPI Enumeration Date: | 01 Aug, 2006 |
| NPI Last Update On: | 12 Jun, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rose Drug Of Russellville, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 0413916 | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 110621716 | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3103 W Main Pl, Russellville, Arkansas |
| Zip: | 72801-3360 |
| Phone Number: | 479-968-1050 |
| Fax Number: | 479-968-1557 |
Patients can reach Rose Drug Of Russellville, Inc at
3103 W Main Pl, Russellville, Arkansas or can
call on customer care at 479-968-1050.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.