| NPI | 1164448023 |
|---|---|
| Doing Business As | JIMS DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID STROUD VP Pharmacy Services 501-296-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN C1061) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 1061) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-12-03 |