| NPI | 1396143103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HOLIFIELD Co Owner 870-793-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR12611) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2025-11-03 |