| NPI | 1629807789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GARVEY Sr. Director, Rcm & Enrollment 479-277-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |