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 | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 1061) |
333600000X Pharmacy (Licence: TN C1061) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2007-12-03 |