NPI | 1659398923 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH LITTLE Director Of Healthcare Contracting 479-277-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054010053) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2018-02-28 |