NPI | 1164563136 |
---|---|
Doing Business As | SUPER SAV DRUG #3 |
Entity Type | Organization |
Authorized Contact | MARK ALAN MANES Manager 479-474-5028 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR15009) |
Enumeration Date | 2007-02-10 |
Last Update Date | 2020-08-22 |