| NPI | 1205876059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HYDE Pharmacist 501-764-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AR AR20268) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-09-11 |