| NPI | 1285167502 |
|---|---|
| Doing Business As | EXPRESS RX AT OTTER CREEK |
| Entity Type | Organization |
| Authorized Contact | JOHN TRAINOR NAMIR CFO 501-773-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-05-21 |