PEDIATRIC NUTRITION PROV OF AR

BENTON, AR
NPI1477598795
Doing Business AsACCESS PHARMACY
Entity TypeOrganization
Authorized ContactLEONARD GRAY
Co Owner
901-315-7337
Organization Subpart ?No
Primary Taxonomy3336L0003X Pharmacy, Long Term Care Pharmacy
Additional Taxonomies333600000X Pharmacy
(Licence: AR  AR20528)
Enumeration Date2006-06-19
Last Update Date2020-08-22
Business Address
PEDIATRIC NUTRITION PROV OF AR
920 EDISON AVE STE 9
BENTON, AR 72015-4502
Phone number: 501-315-7337
Mailing Address
PEDIATRIC NUTRITION PROV OF AR
920 EDISON AVE STE 9
BENTON, AR 72015-4502
Phone number: