| NPI | 1356299853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOYD BARRY BULTENA Pharmacist 501-888-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |