| NPI | 1144559592 |
|---|---|
| Doing Business As | MEDIPHARM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHIEMEZIE OTI Pharmacy Director 870-394-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR 20617) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2010-02-10 |