| NPI | 1013069970 |
|---|---|
| Former Legal Business Name | JEPSON DRUG STORE, INC. |
| Entity Type | Organization |
| Authorized Contact | SETH WILSON Pharmacist In Charge, Co Owner 479-524-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR06062) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2025-08-07 |