| NPI | 1467521229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRAD COBB Owner 479-489-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR05351) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-01-10 |