| NPI | 1033623236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Director, Healthcare Contracting & 479-277-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH31236) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-05-16 |