| NPI | 1235110644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARD HANRY Pharmacist/Owner 870-862-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 4623060001) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-06-22 |