NPI | 1023099660 |
---|---|
Doing Business As | PRINCE PHARMACY |
Entity Type | Organization |
Authorized Contact | JEFFREY PRINCE Owner Phcst 870-234-7292 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20042) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2017-02-16 |