| NPI | 1023715737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HARRIS Owner/ Pharmacist In Charge 870-633-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |