| NPI | 1487675310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT KUENZEL President 870-239-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR ar16734) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AR AR16734) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2024-03-15 |