NPI | 1598751984 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCY JACKSON CYPHERS Owner Pharmacist 870-836-8176 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AR 0418738) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2011-12-23 |