NPI | 1538273503 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORA TUCKER Owner PIC 501-268-5811 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20379) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2008-11-18 |