| NPI | 1518066919 |
|---|---|
| Doing Business As | POLK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARY CAROLE POLK Owner 870-747-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-11-14 |