| NPI | 1124464706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BADEEN Sr Dir H&W 479-277-2611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-07-12 |