| NPI | 1265328975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA PENNINGTON Pharmacist 501-229-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |