| NPI | 1063599934 |
|---|---|
| Former Legal Business Name | BEARDEN PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | REBECCA BOYD TOTTY Owner/President 870-687-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR18219) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-09-09 |