| NPI | 1013605203 |
|---|---|
| Doing Business As | SOO'S DRUG STORE LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL SOO Pharmacist 870-932-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |