| NPI | 1457473647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED WILLIAM HARRIS Executive Vice President 870-246-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AR AR20150) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |