PEDIATRIC NUTRITION PROVIDER OF AR

BENTON, AR
NPI1588873053
Doing Business AsACCESS PHARMACY
Entity TypeOrganization
Authorized ContactNICOLE COURTNEY MOTTO
Co Owner
501-315-7337
Organization Subpart ?No
Primary Taxonomy332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition
(Licence: AR  AR20528)
Enumeration Date2007-05-22
Last Update Date2020-08-22
Business Address
PEDIATRIC NUTRITION PROVIDER OF AR
920 EDISON AVE SUITE #9
BENTON, AR 72015-4502
Phone number: 501-315-7337
Mailing Address
PEDIATRIC NUTRITION PROVIDER OF AR
920 EDISON AVE SUITE #9
BENTON, AR 72015-4502
Phone number: 501-315-7337