| NPI | 1265427678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREASA KATHLEEN LOMAX Cheif Pharmacist 870-932-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR20355) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |