| NPI | 1447307590 |
|---|---|
| Doing Business As | MITCHELL'S MEDI MART |
| Entity Type | Organization |
| Authorized Contact | KRISTI HAYS Chief Phrm 870-777-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20325) |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-01-09 |