| NPI | 1487523049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WIRGES Owner 501-328-3282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |