| NPI | 1629377742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH HOLDERFIELD Partner 479-444-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR20645) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2016-03-29 |