| NPI | 1487640579 |
|---|---|
| Doing Business As | MITCHELLS PARK STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SARAH MITCHELL President 870-297-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20214) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2016-07-05 |