| NPI | 1497159891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HOLIFIELD Pharmaist In Charge 870-793-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: AR AR14083) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2019-01-21 |