| NPI | 1295078178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX CALDWELL Owner/Pharmacist 870-238-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MA 42975) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |