| NPI | 1558447763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN CAMP Owner Pharmacist 870-910-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-10-16 |