| NPI | 1578580767 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SARAH LITTLE Director Of Healthcare Contracting 479-277-2500 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 49921531703) | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-16 | 
| Last Update Date | 2023-08-30 |