| NPI | 1013589514 |
|---|---|
| Doing Business As | CLINIC PHARMACY OF MONTICELLO |
| Entity Type | Organization |
| Authorized Contact | KHALIL L CROUSE President 870-265-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-09-13 |