| NPI | 1053685859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BETH MARTIN Owner/Pharmacist 870-777-2263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AR AR20573) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |