| NPI | 1093858698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GREGORY COOPER Pharmacist In Charge 501-664-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR04183) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-03-07 |