| NPI | 1518069004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SCHMALZ Owner 479-452-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2023-10-20 |