| NPI | 1649335753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LARRY SMEDLEY Pharmacist 870-898-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AR AR14639) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-08-06 |