| NPI | 1457332850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GOODART ONEAL CEO 870-238-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR06581) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2025-09-11 |