NPI | 1093720617 |
---|---|
Doing Business As | VILLAGE HEALTHMART DRUG #1 |
Entity Type | Organization |
Authorized Contact | MICHAEL BUTLER President 501-620-4053 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR06973) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2018-07-19 |