NPI | 1235475427 |
---|---|
Former Legal Business Name | BROOKSIDE, INC |
Entity Type | Organization |
Authorized Contact | LAURA LUMSDEN VP Secretary, Remedy Drug, Inc 501-313-4480 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20698) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2012-12-17 |
Last Update Date | 2020-09-14 |