| NPI | 1154545788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY STEPHENS Presidient 501-888-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: AR 0416215) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-01-22 |