| NPI | 1437578697 |
|---|---|
| Doing Business As | SOO'S WEST END PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL STORM SOO President 870-932-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20714) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |