| NPI | 1255537064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM D LESLIE President 870-895-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR05945) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-03-11 |