| NPI | 1164934477 |
|---|---|
| Doing Business As | ILYAS MUNSHI, MD |
| Entity Type | Organization |
| Authorized Contact | AMANDA GONZALEZ Ncpdp Coordinator 479-636-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA 14248R) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |