NPI | 1619711256 |
---|---|
Doing Business As | THE DRUG STORE LTC |
Entity Type | Organization |
Authorized Contact | PHILLIP JUDD Owner/Pharmacist 501-223-2636 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2024-06-19 |
Last Update Date | 2024-08-22 |