| NPI | 1144870957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BLAKE TORRES Pharmacist/Manager 501-778-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-10-19 |