| NPI | 1558038653 |
|---|---|
| Doing Business As | CONWAY OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLY SUMNER STANLEY President 501-305-4108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-10-28 |