| NPI | 1619753241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LEE HENNESSEY President/Pharmacist 479-750-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |