| NPI | 1063834380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELYNDA F BAKER Pharmacist In Charge 501-455-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR PD09193) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2016-05-17 |