| NPI | 1003347261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Dir Healthcare Conctract & Enrollme 479-277-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-10-13 |