| NPI | 1235793480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY RODGERS Manager 501-374-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2024-05-28 |