| NPI | 1417039298 |
|---|---|
| Doing Business As | PRINCE DRUG STORE INC |
| Entity Type | Organization |
| Authorized Contact | DANIEL LUNSFORD Authorized Rep Phcst 479-782-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR00628) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-05-23 |