NPI | 1497755946 |
---|---|
Doing Business As | SOO'S DRUG STORE |
Entity Type | Organization |
Authorized Contact | TYLER ALAN SOO Owner/Pharmacist 870-932-6930 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR20121) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2005-07-27 |
Last Update Date | 2021-03-02 |