NPI | 1316922487 |
---|---|
Doing Business As | OAK GROVE PHARMACY |
Entity Type | Organization |
Authorized Contact | JACOB HYATT Pharmacist/Owner 501-851-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR10174) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-12-13 |
Last Update Date | 2021-01-06 |