| NPI | 1194379420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RAPERT Owner/Pharmacist 870-838-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-05-13 |