| NPI | 1609084565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D SMITH Pharmacist 479-736-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR11140) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |