| NPI | 1053669325 |
|---|---|
| Doing Business As | MEDICINE MAN PHARMACY JFK |
| Entity Type | Organization |
| Authorized Contact | TERRY WAYNE PERKINS Pharmacist/Owner 501-940-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR 20695) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2022-01-17 |