| NPI | 1376825406 |
|---|---|
| Doing Business As | MEDI SHOP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KAY K GARNER Treasuere 479-394-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20383) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |