| NPI | 1154607224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE WILLIS Pharmacist 501-467-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR pd11300) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |