NPI | 1356146484 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW THOMAS FRAZIER Pharmacist/Owner 501-358-3498 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-02-13 |