NPI | 1154357374 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA MEYERS President 870-734-2344 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR12469) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-06-23 |
Last Update Date | 2020-08-22 |