Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Jacob Roark

Individual provider Pharmacist · NPI 1679184352

David Jacob Roark is a Pharmacist in Ruston, Louisiana. Works from 2 locations. Licensed in Arkansas and Louisiana.

Licensed in
AR, LA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

104 W Line Ave
Ruston, LA 71270-5044
Phone: (318) 255-7363
Fax: (318) 255-7365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2135 N West Ave, El Dorado, AR 71730-3351 — (870) 862-5458

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 023778 (LA)
Pharmacist Taxonomy 183500000X · Licence PN06516 (AR)

Record details

NPI number1679184352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2020
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing address2135 N West Ave, El Dorado, AR 71730-3351

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