NPI | 1043990617 |
---|---|
Doing Business As | CONWAY APOTHECARY |
Entity Type | Organization |
Authorized Contact | CLAYTON DICKERSON Pharmacist/Owner 870-540-7955 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-08-10 |