| NPI | 1497114144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB HERRAKA Md/Owner 479-242-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: AR AR20829) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |