NPI | 1578334751 |
---|---|
Doing Business As | SOO'S WEST END PHARMACY |
Entity Type | Organization |
Authorized Contact | TRACY DON MOONEYHAM Pharmacist In Charge 870-932-4742 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-16 |