| NPI | 1114146818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Director Of Healthcare Contracting 479-277-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 19-F-2499) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-04-03 |