| NPI | 1316251432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WALTER ERICKSON Pharmacist / Owner 479-437-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR20630) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2024-07-10 |