| NPI | 1487222147 |
|---|---|
| Doing Business As | SOUTHERN PHARMACY OF ARKANSAS |
| Entity Type | Organization |
| Authorized Contact | KYLE ANDREW LOMAX President 870-275-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |