| NPI | 1215020037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SMITH Owner 479-452-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-06-08 |