NPI | 1609980028 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM S NEWTON Owner 479-968-1157 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AR 04 05919) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 04 05919) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2015-01-13 |