| NPI | 1659619120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS FRAZIER Pharmacist 501-472-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20700) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |