| NPI | 1003822644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LUEKENGA Owner 870-342-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20525) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-17 |