| NPI | 1265580260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MCCRADY Director Of Pharmacy 501-570-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR20017) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-03-02 |